King's Travel, Inc.
www.ReallyCheapFares.com

Credit Card Authorization Form

I, ____________________________________________________, hereby authorize King’s Travel, Inc., to make charges in the amount of $__________________________ to my Credit Card in consideration for airline tickets and any other travel or transportation services or products as requested by me or authorized users of this credit card.  I hereby designate as authorized users of this card the following persons to make charges on said card for arrangements in the event that I am unable to personally do so (if none state “None”):

No other persons are authorized to make charges on said account without my express authorization.  In the event any of the above named persons make unauthorized charges against this card, I hereby agree to indemnify and hold blameless King’s Travel, Inc., for any and all such charges, claims and liability related hereto.  I agree to immediately notify King’s Travel, Inc. of any changes to the identity of Authorized Users.

I fully understand the airline tickets and other travel services or products are non-refundable and/or are subject to penalty fees in the event changes need to be made or services and/or products need to be cancelled.

Reservation Number: ___________________

Credit Card Type:  Visa ___   Mastercard ___   American Express ___   Discover ___   Other ___
Credit Card Number: _____________________________   Expiration Date: ______________
Billing Name (as it appears on credit card): _________________________________________
Billing Address (where credit card statements are sent to):
                                                                         _________________________________________
                                                                         _________________________________________
                                                                         _________________________________________
Daytime Telephone Number: __________________________
Evening Telephone Number: __________________________

Cardholder signature: ___________________________________________________________
Date: ________________________

*** PLEASE PRINT THIS PAGE OUT AND FAX TO 808-596-0505.  PLEASE INCLUDE A COPY OF THE CREDIT CARD, BOTH FRONT AND BACK, ALONG WITH YOUR PICTURE I.D. (DRIVER'S LICENSE, MILITARY I.D., ETC.) ***