Credit Card Information
Name (as it appears on credit card) *
Name (as it appears on credit card)
Billing Address *
Billing Address
Credit Card *
Phone Number *
Phone Number
Booking Information
In U.S. dollars
$
Authorization *
Disclaimer
All sections, calculation and customer's credit card billing address must be completed on this form before tickets can be issued. An imprint and signature from the authorized signer must still be obtained for corporate cards. Delivery fees will only be charged once per transaction. We accept Visa, MasterCard, American Express and Discover credit cards. We will obtain the approval on the credit card. We do not accept debit cards, third-party credit cards or credit cards issued outside of the United States. Al Jusant Travel may appear on the cardholder's statement. Note: In addition to any Al Jusant Travel and airline penalties, 4% of total charges may also be non-refundable on any cancellations. Al Jusant Travel must be notified of any changes: 1-888-VIAJERO. Required documents: record locator, copy of itinerary, copy of cardholder's passport or drivers license and copy of credit card.