Include a copy of the front and back of the credit card and
a copy of the credit card holder's passport / ID. Please note that
all credit card payments are subject to a 3% service fee.
(all fields are compulsory) |
| Invoice Number : |
|
| Name of Passenger : |
|
| Date of Birth : |
(mm/dd/yyyy) |
| Passport Number/ID : |
|
| Name on Credit Card : |
|
| Credit Card Number : |
|
| Expiry Date : |
(mm/dd/yyyy) |
| Last three digits
on back of Credit Card : |
|
| Credit Card holder's Nationality
: |
|
| Credit Card holder's passport/ID
number : |
|
| Credit Card holder's Postal
Address : |
|
| Credit Card holder's Telephone
Number : |
|
| Credit Card holder's Fax Number
: |
|
| Credit Card Type : |
Mastercard
VISA |
| Payment Option : |
Straight
Budget [months
|
| I, (credit card holder's
name)
give ORAKLE TRAVELS, permission to debit my credit card for
the following amount |
| Currency : |
INR
US$ |
| Invoiced Amount: |
|
| Date : |
(mm/dd/yyyy) |
NOTE :
- If you are paying in US$, €uros or GB£, your credit card will
be debited at the exchange rate of the day.
- 3% Service fee on invoiced amount
- The charge will reflect on your card as techprocess Ltd / ICICI
|
|
|
::
Reservation Form 