CREDIT CARD AUTHORIZATION FORM

Please call 1-888-SKYBIRD to confirm this ticket order.

This form must be FULLY completed before tickets can be issued.
Attention: __________________________

PNR / Confirmation Number: ______________

Travel Company Name:_________________________________________________________________

Phone Number - ______________________________________________________________________
To: Sky Bird Travel & Tours, Inc.
This is to confirm that, in keeping with all applicable laws, we are instructing Sky Bird Travel & Tours, Inc. to issue the following
tickets against the credit card listed below. It is expressly understood that this amount charged does not include or constitute any
additional fees related to our acceptance of credit cards as a form of payment, unless permitted by law. We further represent the credit
card holder stated below has authorized this transaction and that we will indemnify and hold Sky Bird Travel & Tours, Inc. harmless
with respect to these instructions. It is understood and accepted that to provide additional security for our benefit, Sky Bird Travel &
Tours, Inc. may on request by us, verify the credit card holders billing address and may, with our approval, deliver the ticket(s)
directly to that billing address. It is further understood and agreed that we accept full responsibility for the amount due Sky Bird
Travel & Tours, Inc., even if the card holder (our customer) rejects the credit card charge for any reason whatsoever and even if we
are not paid by our customer.
Booking Number/Ship/Sail Date: ______________________
1.

Cardholders name as it appears on the credit card.

2.

Cardholders billing address, including zip code.

Amount to be Charged: $______________________

Street:

City:

State:

3.

Cardholders phone number

4.

Credit Card No

Zip:
5. Exp Date

IS THE CARDHOLDER TRAVELING?

Yes

No

IS THE CARDHOLDER PAYING FOR MORE THAN ONE PURCHASE?

Yes

No

I (Travel Agent) _____________________________________________ authorize to charge my clients credit card.

For the above booking, I understand that in the event of cancellation, a penalty may be assessed, as stated by Sky Bird Travel & Tours

Travel Agent Signature

Date
Please fax this information and copies of both sides of the customers credit card and driver license as soon as possible. Keep in mind
that if we do not receive this information, we will not be able to obtain the approval code, therefore, payment will not be applied, and
booking may be canceled.
Thank you for your business.

PLEASE FAX TO 866-469-3670