 |
Jewish Travel Since 1993
Toll-free
877-466-2934. Phone 727-254-4373 |
|
|
Jewish Travel Since 1993
Toll-free
877-466-2934. Phone 727-254-4373 |
EMCO Travel, LLC
3 Pleasant Valley Lane
Westport, CT 06880
phone: 203-222-8787 or email
info@JewishTravelAgency.com
Print out this form and fax it back to us at 1-203-222-2227
CREDIT CARD AUTHORIZATION FORM
Important! Please include clear copy of credit card from both sides
I, the undersigned (Print
Name)______________________________________authorize EMCO Travel, LLC to charge
my credit card representing payment for
booking number _______________ for the following services: _________________________________________________________________________________
____________________________________________________________________________________________________________________________________
To charge the amount: ________________
To my:
____ Visa ___ Mastercard _____ American Express ______ Diners/Enroute _____ Discover
Credit Card Number :
____________________________________________________________ Security Code:
_______ Expiry Date: ______________
Print Name
_______________________________
Signature_________________________________
Date:___________________
Billing Address:_____________________________________________________________
City:_________________________ State________________ Zip:_____________
Billing Phone: _______________________________
I/We are aware of any cancellation policies and agree not to dispute or attempt of Chargeback any of the above signed for and acknowledged charges
Cardholder Initial ________
VERY IMPORTANT: Please be advised that your Credit Card statement will show EMCO
Travel, LLC
Toll-free
877-466-2934. Phone 727-254-4373
email:
info@JewishTravelAgency.com
www.JewishTravelAgency.com
EMCO Travel LLC, DBA Jewish Travel
Agency is registered with State of Florida as Seller of Travel Registration No.
ST36902
California Travel Seller # 2079011-40
Privacy statement