In lieu of my credit card
imprint,
I-----------------------------------------------------------------------------hereby
authorize
(Name
of cardholder as shown on credit card)
Travel
service co dba flytoiran.com, acting on behalf of (Airline
Name)-------------------------------------------------to charge my:
Visa, Master Card,
American Express ------------------------------------------------------------
-----------------------
(Mark One)
(Credit
Card Number)
(Expiration date)
In the amount of
$ -------------------------------------- for payment of transportation of
myself and /or
-------------------------------------------------------------------------------------------------------------------------------------------------
(Name (s) of Passenger (s)
if other than cardholder.)
For itinerary as follows:
----------------------------------------------------------------------------------------------------------
(Complete
Routing)
------------------------------------------------------------------------
(Work) ------------------------------
Note: Please
fill all the requirements and fax it to 925-945-6800 or email to info@flytoiran.com
By signing below, I
acknowledge charges described hereon. Payment
in full to be made when billed or in
extended payment, in
accordance with standard policy of credit card issuing company, I have been
informed that:
·
- KLM
tickets issued in 'V', 'T' or 'L'
classes are non-refundable.
·
-There will be $50.00 service fee in
addition to the airlines penalty of $250.00, per
ticket, if I request a refund.
·
-$200.00 penalty for any change
of reservation.
· -After departure non refundable
·
-
Ticket issued in Iran are non-refundable.
---------------------------------------
---------------------------------------------
-----------------------------------
Signature of cardholder
Please print card
holder name
Date