Card Holder Authorization Letter printable pdf download

Card Holder Authorization Letter

Card holder Authorization Letter

I (First + Family name) ______________________, holder of a credit/debit card issued by

Name of issuing bank_______________________

Credit Card Number:

___ ___ ___ ___ X_ X_ _X_ _X_ - _X_ _X_ _X_ _X__ ___ ___ ___

Expiring on:

___ ___ / ___ ___

Do hereby authorize Sun d’or Airlines LTD to process the payment for amount______

Currency ______ against tickets issued on booking reference (PNR)____________

I acknowledge the purchase airplane tickets against the PNR

Reference (as mentioned above) for the charges described above and I am

Aware of applicable restrictions and/or penalties as shown on such tickets .

Card Holder Signature________________

Date________________

Phone number______________________

Address______________________________________

Note: for Credit Card payment verification we require:

1. A clear copy of the credit card (blank out the first digits of the number, leave

only the last 4 digits*)

2. Copy of the cardholder’s passport

3. Current authorization letter duly signed by card holder

The Card Holder is responsible for not sending the full credit card number*

Card Holder Authorization Letter