TELEPHONE OR INTERNET CREDIT CARD
AUTHORIZATION FORM
Sales Rep:
Passenger Names:
 
 
 
E-mail:
Billing Address:
City:
State:
Zip:
Telephone #: Fax #:
Cardholder's Name:
Total to be Charged:
Credit Card #:
Credit Card Type:


Exp. Date:
Insurance: and I am aware of the risks envolved.
(Please, refere to sales representatives for prices and policy. Travel Insurance will be charged on your credit card)
Delivery Method:
 (in case of Paper Ticket)


By signing the Universal Credit Card Form incorporated hereunder, I hereby authorize Dumonde Travel to purchase and issue airline tickets and/or land services charge these facsimile reasonably believed to be from me or some other representative of the above reference company, requesting that it issue airline tickets and/or land services for me or anyone else and charge those purchase to the above identified credit card account. I hereby warrant that I am the cardholder of the above identified credit card account and that the subject account is in good standing. I understand that the charges on my credit card statement will ready as Dumonde Travel and/or the airline I am purchasing the tickets and/or land service form.


 Fax Number: 
305-379-6845

Please Follow the instructions below:

This form will NOT send your credit card information over the Internet. It will simply allow you to print out a neat, typed authorization form, that you can  sign and fax to us. Please contact us at info@dumondetravel.com  if you experience any difficulties.