Home
About
Services
Payments
Contact
Authorization Form
Home
Authorization Form
Please complete this form to authorize credit card payments.
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Card Holder Name
*
First
Last
Email
*
Phone
*
Billing Address
*
Address Line 1
Address Line 2
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Card Numbers
*
Expiry Date
*
CVV
*
Driving license Number
*
Amount to charge
*
Authorization
*
I hearby authorize Royal Travel & Tours to charge my credit card with the amount above.
I Acknowledge
*
By checking the checkbox, I acknowledge the charges described herein, and undertake to make payment in full when billed in accordance with standard policy of the Credit Cared Company, which issued the Ca also acknowledge that there will be a service charge and penalty in case I cancel or change the date of tra after the issuance of the ticket(s) as per the respective Airline fare rules, which are clearly explained to the passenger/Card holder prior to issuance of the ticket(s), also acknowledge that I will pay the total charges for the ticket(s)/ travel of my relative as stated above and provide passport copies and US ID card.
Submit