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Hot & Safe Travel Credit Card Authorization
                              Form
                                                   Fax completed form to   1-866-355-0877 or email to hotsafetravel@hotmail.com
  CREDIT CARD INFORMATION
  Name                                                                                     D.O.B
                                                      (as shown on CREDIT CARD)

  Credit Card Type:       VISA               MC                AMEX               OTHER

  Credit Card No:                                                                 Exp Date:                            CCV
                                                                                              [MC/VI- 3 last digits on back /AX-4 digits on front ]

  Billing Address:

  MAILING ADDRESS;
                                                                                              FEDEX:[EXTRA $15.00] YES                NO

  Card Holder's Home Phone:                                                       EMAIL:

  TRAVEL SERVICES INFORMATION                                  Billing Phone Number


  •      AIR TICKETS:Itinerary1:______________________________________________________________
  •                       Itinerary2: _____________________________________________________________
  NAMES OF ALL PASSENGERS TRAVELING IMPORTANT! MUST MATCH YOUR PASSPORT

  1)                                                  Amount   $ 0.00      Mileage #:                                  SEAT:
       (Last Name)                 (First Name)
  2)                                                  Amount   $ 0.00      Mileage #:                                  SEAT:
       (Last Name)                 (First Name)
  3)                                                  Amount   $ 0.00      Mileage #:                                  SEAT:
       (Last Name)                 (First Name)


  •      VISAS / MISCELLANEOUS: Service :____________________________________Charge Amount:_____________                          [4% extra fee applies]

  •      LAND TOUR PACKAGE: Name:            ______________________________________Charge Amount:_____________ [4% extra fee applies]

  Ask Booking agent or check our website for TRAVEL INSURANCE. Insurance Fees Apply.
  4% Fee applies to total amount if airline does not accept credit card.           Decline Insurance?                         NO

   I HEREBY AUTHORIZE HOT & SAFE TRAVEL, LLC TO CHARGE MY CARD IN THE TOTAL AMOUNT OF
   $0          FOR PAYMENT FOR SERVICES LISTED FOR ALL THE ABOVE PASSENGERS.

  SIGNATURE OF CARDHOLDER (MUST                                    :
I have read and agree with HOT & SAFE Travel Terms & Conditions available at hotsafetravel.blogbroad.com
                      •     All sections and customer’s credit card billing address must be completed in this form before tickets
                            can be issued.
                      •     A imprint and signature from the authorized signer must still be obtained for corporate cards.
                      •     Delivery charges will only be charged once.
                      •     Agency will usually accepts Visa, Master Card, American Express , other credit cards and some
                            destinations are subject to approval by airline. We do not accept Debit Cards or Third Party credit
                            cards or Credit cards issued outside of USA. We will obtain the approval on the credit card.
                            Hot & Safe Travel, LLC or Consolidator or Airline may appear on the cardholder’s statement.
                      •     Note: In addition to any Hot & Safe Travel, LLC and airline penalties, 4% of total charge may also be
                            non-refundable on cancellations.
                      •     Any changes must be notified to Hot & Safe Travel, LLC. 1-718-600-4515
                      •     Required documents: FAX legible copy of your credit card and your Passport
                      •     Change and/or Cancellation Policy: Please clarify cancellation or change
                            fees with your booking agent as some charges/fees are non-refundable


                                   1204 AVENUE U, #1167,                   BROOKLYN NY 11229
                                 hotsafetravel@hotmail.com                    www.hotsafetravel.com

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Hot & safe credit card authorization form

  • 1. Hot & Safe Travel Credit Card Authorization Form Fax completed form to 1-866-355-0877 or email to hotsafetravel@hotmail.com CREDIT CARD INFORMATION Name D.O.B (as shown on CREDIT CARD) Credit Card Type: VISA MC AMEX OTHER Credit Card No: Exp Date: CCV [MC/VI- 3 last digits on back /AX-4 digits on front ] Billing Address: MAILING ADDRESS; FEDEX:[EXTRA $15.00] YES NO Card Holder's Home Phone: EMAIL: TRAVEL SERVICES INFORMATION Billing Phone Number • AIR TICKETS:Itinerary1:______________________________________________________________ • Itinerary2: _____________________________________________________________ NAMES OF ALL PASSENGERS TRAVELING IMPORTANT! MUST MATCH YOUR PASSPORT 1) Amount $ 0.00 Mileage #: SEAT: (Last Name) (First Name) 2) Amount $ 0.00 Mileage #: SEAT: (Last Name) (First Name) 3) Amount $ 0.00 Mileage #: SEAT: (Last Name) (First Name) • VISAS / MISCELLANEOUS: Service :____________________________________Charge Amount:_____________ [4% extra fee applies] • LAND TOUR PACKAGE: Name: ______________________________________Charge Amount:_____________ [4% extra fee applies] Ask Booking agent or check our website for TRAVEL INSURANCE. Insurance Fees Apply. 4% Fee applies to total amount if airline does not accept credit card. Decline Insurance? NO I HEREBY AUTHORIZE HOT & SAFE TRAVEL, LLC TO CHARGE MY CARD IN THE TOTAL AMOUNT OF $0 FOR PAYMENT FOR SERVICES LISTED FOR ALL THE ABOVE PASSENGERS. SIGNATURE OF CARDHOLDER (MUST : I have read and agree with HOT & SAFE Travel Terms & Conditions available at hotsafetravel.blogbroad.com • All sections and customer’s credit card billing address must be completed in this form before tickets can be issued. • A imprint and signature from the authorized signer must still be obtained for corporate cards. • Delivery charges will only be charged once. • Agency will usually accepts Visa, Master Card, American Express , other credit cards and some destinations are subject to approval by airline. We do not accept Debit Cards or Third Party credit cards or Credit cards issued outside of USA. We will obtain the approval on the credit card. Hot & Safe Travel, LLC or Consolidator or Airline may appear on the cardholder’s statement. • Note: In addition to any Hot & Safe Travel, LLC and airline penalties, 4% of total charge may also be non-refundable on cancellations. • Any changes must be notified to Hot & Safe Travel, LLC. 1-718-600-4515 • Required documents: FAX legible copy of your credit card and your Passport • Change and/or Cancellation Policy: Please clarify cancellation or change fees with your booking agent as some charges/fees are non-refundable 1204 AVENUE U, #1167, BROOKLYN NY 11229 hotsafetravel@hotmail.com www.hotsafetravel.com