Orakle Travels # 104, Mariyappa Building, Kalasipalyam main road, Bengaluru - 560002 (Karnataka).Phone:+91- 80 - 32984118, 26700132, 41243038, 22906271, 41526850 E-mail :info@orakletravels.com/ orakletravels@rediffmail.com
CREDIT
CARD AUTHORIZATION FORM
Include a copy of the front and back of the credit card and
a copy of the credit card holder's passport / ID. Please note that
all credit card payments are subject to a 3% service fee.
Invoice Number :
Name of Passenger :
Date of Birth :
Passport Number/ID :
Name on Credit Card :
Credit Card Number :
Expiry Date :
Last three digits
on back of Credit Card :
Credit Card holder's Nationality
:
Credit Card holder's passport/ID
number :
Credit Card holder's Postal
Address :
Credit Card holder's Telephone
Number :
Credit Card holder's Fax Number
:
Credit Card Type :
Payment Option :
I, (credit card holder's
name)
Currency :
Invoiced Amount:
Date :
NOTE :
If you are paying in US$, €uros or GB£, your credit card will
be debited at the exchange rate of the day.
3% Service fee on invoiced amount
The charge will reflect on your card as techprocess Ltd / ICICI
