Indemnity Of Payment

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INDEMNITY OF PAYMENT
TO: China Airlines
In consideration of China Airlines accepting my booking for:
Name (s):
________________________________________________________________
ST
1
Flight NO.: _________ date: __________________PNR_____________
I, Name: ________________________, Passport/ID Number ____________
Address:
________________________________________________________________,
agree to indemnify China Airlines the Price of the ticket/s
__________________ (Ticket number/s_____________________________)
by payment in cash forthwith upon notification by China Airlines of the
non-acceptance of my credit card: _______________________________
used for the payment for the purpose stated above.
_________________________________
______________________
Name & Signature of credit card holder
Date
1. Please sign the document in the presence of our staff. You will need to bring your credit card
and a photo ID as well, wherever required to do so. This information is confidential and will be
stored by China Airlines. It will only be used in the event of a dispute regarding the booking
transaction.
2. By signing this document, you agree to use your own credit card or debit card which is held in
your own name, and in consideration of China Airlines accepting your payment for the above
purposes by persons other than yourself, to indemnify and hold harmless China Airlines from
any loss arising from the rejection by the relevant payment account issuer (for any reason) of the
transaction, and to forthwith upon demand by China Airlines pay the whole amount owing for the
transaction in whatever form China Airlines shall require.
For China Airlines Handling Staff
Verified and approved by:
----------------------------- ------------------------------ ---------------------------
Name/Designation Signature Date
Form number: F-SE007
Version: AA

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