Test page » Royal Travel

PRIMARY TRAVELER'S NAME

First Name

Middle Name

Last Name

CARDHOLDER'S NAME

First Name

Middle Name

Last Name

CARDHOLDER'S BILLING ADDRESS *

Street Address

City

State / Province

CARDHOLDER'S PHONE NUMBER

Phone Number

OTHER TRAVELER'S INFORMATION

First Name

Last Name

First Name

Last Name

First Name

Last Name

CHANGE/CANCELLATION:

I have been advised of potential change/cancellation charges that may be implemented by the supplier and/or agency in the event that I choose to cancel or change my booking after making the initial deposit or final payment either over the phone, in person or this online form.

CREDIT CARD INFORMATION:

Card Number

Exp. Date

CVV Code

Amount Approved (If "Other Amount" is selected)

CARD HOLDER AUTHORIZATION

Your completion of this authorization form helps us protect you, our valued customer, from credit card fraud. All information entered on this form will be kept strictly confidential. In addition to the completed form, please fax a photo copy, front & back of your credit or debit card along with a photo copy of your passport, or driver’s license. Here by authorize Royal Travel LLC located at USA, to charge on my credit card listed Above for travel arrangements made by them. I agree to honor all charges on my account in the matter of this agreement. I understand & agree with Terms and Condition apply as per regulations and as per Travel provider including changes and cancellations fees and service fees.

Signature

Note: Your card will not automatically be charged by completing and submitting this form; however, completing and submitting this form does give the agent the right to charge the card for the amount and purpose authorized above.

File Upload

Our Services

Explore Tours

Primium Trusted