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Credit Card Authorization

Credit Card Information

Card Holder's Name :*	( As it appears on your credit card )
Credit Card Number :*
Credit Card Type :*		Expiry Date :*		CVV :*

Billing Information

First Name :*

MI :

Last Name :*

Address 1:*
Address 2:
City :*		State :*
Country :*		Zip Code :*
Primary Phone :*
Secondary Phone :
Email :*

I here by authorize Ransi Travels or it's affiliate or the transporting airline to charge my credit card mentioned above for the amount of USD $ towards payment of airline tickets as per the details mentioned in reservation form. I recognize that the above amount may be different from the amount that appear on my tickets. I understand that taxes and service charges are included in the above amount and penalties apply for cancellations/changes/refunds. I am aware that it may not be possible for me to receive any additional benefits or insurance offered by my credit card company.

Signature of the Card Holder

Date :

Note : Please send us scanned copy of credit card (Front & Back) and passport or driver's licence of card holder and reservation form with this authorization form.

Ransi Travels

Credit Card Authorization

Credit Card Information

Card Holder's Name :
Credit Card Number :
Credit Card Type :		Expiry Date :		CVV :

Billing Information

First Name :

MI :

Last Name :

Address 1:
Address 2:
City :		State :
Country :		Zip Code :
Home Phone :
Secondary Phone :
Email :

I here by authorize Ransi Travels or it's affiliate or the transporting airline to charge my credit card mentioned above for the amount of USD $ towards payment of airline tickets as per the details mentioned in reservation form. I recognize that the above amount may be different from the amount that appear on my tickets. I understand that taxes and service charges are included in the above amount and penalties apply for cancellations/changes/refunds. I am aware that it may not be possible for me to receive any additional benefits or insurance offered by my credit card company.

Signature of the Card Holder

Date :

Note : Please send us scanned copy of credit card (Front & Back) and passport or driver's licence of card holder and reservation form with this authorization form.

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admin@ransitravels.com

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contact
admin@ransitravels.com