EMCO travel, LLC
1455 Washington Blvd, Ste. 147
Stamford, CT 06902
phone: 203-363-0015 or email
info@mytravelfind.com
Print out this form and fax it back to us at
203-653-5586
CREDIT CARD AUTHORIZATION FORM
Important! Please include clear copy of credit card from both sides and driver's license
I, the undersigned (Print
Name)
authorize EMCO Travel, LLC to charge my credit card representing payment for
booking number
for the following services:
To charge the amount:
To my:Visa
Mastercard
Credit Card Number :
Security
Code:
Expiration Date:
Print Name Signature_________________________________ Date:
E-mail:
Billing Address:
City: State
Zip:
Billing Phone:
I/We are aware of any cancellation
policies and agree not to dispute or attempt of Chargeback any of the above
signed for and acknowledged charges.
Cardholder Initial ________
VERY IMPORTANT: Please be advised that your Credit Card statement will show EMCO
Travel, LLC
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