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Asia Air Way Travel
1425 Liliha St Ste 200
Honolulu, HI 96817
Tel: Fax:
www.asiaairwaytravel.com aittour
Credit Card Authorization Form
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HOME
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I,_____________________________, authorize Asia Air Way Travel, to Charge to
(Name as it appears on credit card)
my credit card (VISA, MasterCard, AMEX) Account Number:_____________________
with expiration date of _______________ in the amount of $_____________
for travel arrangements for: (List all Passengers)
1. _______________________ TRAVEL DATES ______________
2. _______________________ TRAVEL DA TES______________
3. _______________________ TRAVEL DA TES______________
4. _______________________ TRAVEL DA TES______________
5. _______________________ TRAVEL DATES ______________
Attached are a copy of my photo identification and a copy of the front and back of
my credit card for your files.
I UNDERSTAND THAT THESE TICKETS ARE SUBJECT TO RESTRICTIONS;
NON-REFUNDABLE - NON-CHANGEABLE - SUBJECT TO CHANGE FEES:
_____________________________________________ ___________________
CARD HOLDER'S SIGNATURE DATE
Billing Address: _____________________________________________________
Telephone: ( )_____________________________
• I authorize_______________________________ to pick up tickets at your office.
• Please add postage to the total charge. I would like tickets mailed to me at the above
address. Add $5 for certified mail: _______ YES _______ NO
Add $15 for express mail: _______ YES _______ NO
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