# 32 / 3 - 1st Floor, 7th 'A' Cross, Chocolate Factory Road, BTM 1 Stage,
Landmark:Beside Spurthy Hospital, Thavarakere,Bangalore – 560029 (Karnataka).
Phone:+91- 80 – 32984118,
26700132, 41243038, 22906271, 41526850
E-mail : info@orakletravels.com,
orakletravles@gmail.com
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| CREDIT
CARD AUTHORIZATION FORM |
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| 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. |
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| Invoice
number |
: |
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| Name of
Passenger |
: |
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| Date of
Birth |
: |
(mm/dd/yyyy) |
| Passport
Number/ID |
: |
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| Name on
credit card |
: |
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| Credit card
number |
: |
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| Expiry date |
: |
(mm/dd/yyyy) |
| Last
three digits on back of credit card |
: |
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| Credit card
holder’s nationality |
: |
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| Credit card
holder’s passport/ID number |
: |
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| Credit card
holder’s postal address |
: |
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| Credit card
holder’s telephone number |
: |
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| Credit card
holder’s fax number |
: |
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| CREDIT
CARD TYPE |
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| PAYMENT
OPTION |
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| I,
(credit card holder's name)
give ORAKLE TRAVELS, permission to debit
my credit card for the following amount |
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| CURRENCY |
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| Invoiced
amount |
: |
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Date
(mm/dd/yyyy) |
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| NOTE
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- 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
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