Credit Card Authorization Form


lowfare-travel-logo-new2400, Camino Ramon, Ste - 163, San Ramon CA 94583.

Tel (510) 790-4800 Fax (510) 790-0400

www.lowfaretravel.com

CREDIT CARD AUTHORIZATION FORM

Please return this completed form by mail or fax to +1 510 790 0400

All information and payment details authorized by the cardholder for payment(s) towards specified payment type below, will be kept strictly confidential. We shall respect Cardholder privacy and safeguard against identity theft. We will never rent or sell any information supplied on this form. Lowfaretravel are authorized to process any payments specified.

IMPORTANT: If the cardholder is not the traveler please submit with this formal eligible copy of the front and back of the card and eligible copy of a valid government issued identification document such as passport /driver’s license / state issued ID.

Passenger Details

Payment Information

Card Type

Credit Card / Debit Card Number
Cardholder's Tel (please indicate with area code)
Card Holder Name
Card Expiration Date
Credit Card Verification Code

(For Visa/MasterCard, this is the last 3 digits on back of card on signature panel, after the Credit card number. For American Express, this is the 4 digits on front of card above the credit card number)

Amount Authorized
US$
plus any cancellation penalties imposed or additional services provided by Lowfaretravel. US$
Total Amount
US$

Billing and Contact Information

Credit Card Billing Address

In Lieu of my card imprint as required by Airlines Reporting Corporation section 8.4, I here by authorize Low Fare Travels to issue the above mentioned tickets and charge my credit card for the amount mentioned above. I will support this authorization with copy of my credit card front and back and a federal ID. By signing below, i acknowledge full liability for the charge described herein. I am aware that these tickets are non-refundable and or subject to fee for making changes.

NOTE: Tickets are non-transferable and name changes on tickets are not permitted. Most of the airlines are Non-Refundable in case of cancellation. Date and routing change is subject penalty of USD 350.00 or more plus fare difference if any applies on all tickets. Please note that your card statement may show single or multiple charges not to exceed the authorize amount.

Leave this empty:

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Signature Certificate
Document name: Credit Card Authorization Form
lock iconUnique Document ID: d76d1e3a85a4774c324290287d353f16290f784d
Timestamp Audit
October 6, 2016 7:51 pm PSTCredit Card Authorization Form Uploaded by admin Travel - [email protected] IP 106.51.3.158
September 26, 2018 10:05 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 60.243.66.138
September 27, 2018 1:46 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 183.82.38.209
September 27, 2018 2:01 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 183.82.38.209
September 27, 2018 2:04 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 183.82.38.209
October 3, 2018 4:58 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 49.206.117.248
October 4, 2018 3:43 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.173.188
October 4, 2018 3:44 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.173.188
October 4, 2018 3:50 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.173.188
October 4, 2018 3:53 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.173.188
October 4, 2018 4:22 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.173.188
October 25, 2018 10:04 pm PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.167.49
October 25, 2018 10:11 pm PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.167.49
October 25, 2018 10:48 pm PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.167.49
October 25, 2018 10:52 pm PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.167.49
October 25, 2018 11:00 pm PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 49.207.176.62
October 26, 2018 12:17 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.167.49
October 26, 2018 12:29 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.167.49
October 26, 2018 12:29 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.167.49
October 26, 2018 3:04 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.167.49
October 26, 2018 3:04 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.201.167.49
October 29, 2018 5:04 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 49.204.210.95
October 29, 2018 5:04 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 49.204.210.95
October 30, 2018 11:00 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.5.79.125
October 30, 2018 11:00 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.5.79.125
October 30, 2018 11:00 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.5.79.125
October 30, 2018 11:03 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.5.79.125
October 30, 2018 11:03 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.5.79.125
October 30, 2018 11:03 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.5.79.125
October 30, 2018 11:03 am PSTRam Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.5.79.125
May 6, 2019 4:30 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 198.52.38.5
May 6, 2019 4:30 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 198.52.38.5
May 6, 2019 4:30 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 198.52.38.5
May 6, 2019 4:30 am PSTRam Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 198.52.38.5
June 6, 2019 4:34 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 4:34 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 4:34 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 4:34 am PSTRam Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 5:19 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 5:19 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 5:19 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 5:19 am PSTRam Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 5:24 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 5:24 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 5:24 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 5:24 am PSTRam Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 6:30 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 6:30 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 6:30 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
June 6, 2019 6:30 am PSTRam Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
July 18, 2019 1:52 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
July 18, 2019 1:52 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
July 18, 2019 1:52 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
July 18, 2019 1:52 am PSTRam Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
September 12, 2019 12:00 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
September 12, 2019 12:00 am PSTGnanavel Kumar - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
September 12, 2019 12:00 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
September 12, 2019 12:01 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
September 12, 2019 12:01 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 106.51.3.158
August 13, 2020 4:22 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.140.123
August 13, 2020 4:22 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.140.123
August 20, 2020 1:01 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.121.12
August 20, 2020 1:01 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.121.12
August 20, 2020 1:01 am PSTSocialhi Test - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.121.12
August 20, 2020 1:03 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.121.12
August 20, 2020 1:03 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.121.12
August 29, 2020 9:38 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.1.101
August 29, 2020 9:38 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.1.101
August 29, 2020 9:38 am PSTSocial hi - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.1.101
August 29, 2020 10:05 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.1.101
August 29, 2020 10:05 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.1.101
August 29, 2020 10:05 am PSTSocial hi - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.1.101
August 31, 2020 2:49 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.82.210
August 31, 2020 2:49 am PSTSanjay Mehra - [email protected] added by admin Travel - [email protected] as a CC'd Recipient Ip: 27.62.82.210
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This audit trail report provides a detailed record of the online activity and events recorded for this document.
http://lowfaretravel.com/
Audit Trail Serial# 6dd086c5d2f415b6aec4279b0bca99f4