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Authorization for Client Credit Card Charges
I...............................................................(Travel Agent)
Passenger Name(s) and Itinerary
of .................................................(Travel Agency's Name)
hereby authorize Taj Tours (Global Net Fares) to apply the amount of CA$............................ to my client's/cardholder's credit card towards the charges described below and I confirm the client's/cardholder's authorization to make these charges. I confirm that we have the clent's/card holder's signature on file for this purpose.
....................................................................... ....................................................................... ....................................................................... .......................................................................
We understand that in the event of a disputed charge, our agency will be held responsible and liable for any outstanding balances on this authorization.
| Name as appears on CC | |
| CC type and number | |
| Expiration | |
| Client's Billing Address 1 | |
| Client's Billing Address 2 | |
| Client's Telephone | |
| Authorizing Travel Agent's Signature | |
| Name/Title of Travel Agent | |
| Travel Agency | |
| Agency Address 1 | |
| Travel Agency | |
| Travel Agency Telephone | |
| Travel Agency Email | |
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If the name on the Credit Card is different from the passenger's, we must receive a signed standard Universal Credit Card Charge form (UCCF) including completion of boxes showing relationship of passenger(s) to CardHolder.
Credit Card Payment Procedures
Please print, fill and fax this form to 866-336-3480.
In addition to this form we must have one of the following
- UCCF with cardholder's card imprint and signature. If this is not available, (i.e., agency has signature on file) then this form must be completed
- If cardholder is not one of the passengers, we must receive a UCCF imprinted with Credit Card and signed by CardHolder