NK Travel will not process bookings without a customer's signed credit authorization form.
NOTE: ID IS REQUIRED. PLEASE PROVIDE A PHOTO COPY OF CREDIT CARD (FRONT AND BACK)
AND PASSPORT OR DRIVER'S LICENSE OF CARD HOLDER.
NO 3RD PARTY CREDIT CARD. We can only accept credit cards that are issued in the United States.
Your order will not be processed until we receive this form. It takes about 3 to 7 business days to process
a credit card payment. This transaction will incur a 4% processing fee of the total amount.
Please print and fill, and then fax the signed authorization form to 973-351-8045.
If you cannot print this form, please contact us at 973-262-8648 or email info@traveldiscountfare.com and
we will fax you a copy of the authorization form.
Please print your Confirmation# /PNR: _______________ Travel Date(s): __________- _________
Travellers Name: __________________________________________________________________
Credit Authorization Form
I _______________________________, do understand that NK Travel will act as the merchant on the
(Credit Card Holder’s Name)
behalf of ____________________________________ for my purchase of airline tickets for the amount of
(Travel Agency/Agent Name/TravelDiscountFare.com)
$____________________.
I authorize NK Travel to charge my _________________ number _____________________________,
(Type of Credit Card) (Credit Card number)
with expiration date _____/______, Security ID# _______ (American Express 4 codes on front of card).
(Visa/MC 3 codes on back of card)
Card Holders Contact:
Name as it appears on Card: ________________________________
Credit Card Billing Address: ________________________________
________________________________
________________________________
Home Phone: _________________________ Cell/Work Phone: _________________________
Fax: ________________________ Email: _________________________
CCard Holder's Signature: ________________________________ Date: ___________________
Credit card fraud will be sent to the appropriate authorities for prosecution. NK Travel and its agents and
affiliates will fully cooperate with authorities in matters of credit card fraud. Thanks for your business.
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Agency Use Only:
Order ID/PNR: _______________ Supplier used: _________________ Payment Deadline: _________
Merchant Used: _______________________ Confirmation#: _______________________
Date Processed: __________________. Date Payment Cleared: ___________________
Agent Name: ______________________________ Agent Signature: _______________________
Agent/Agency Notes:
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