ELIAS TRAVEL

PAYMENTS

By submitting this form, I authorize, RC Elias Travel, to charge my credit card for travel and/or delivery expenses. I understand the charge will appear on my credit card statement as RC Elias Travel and/or the Airline/Vendor whose travel services I am purchasing. The issuer of the card identified on this item is authorized to pay the amount shown as total upon proper presentation. I promise to pay such total (together with any other charges due thereon) subject to and in accordance with the agreement governing the use of such card. Payment constitutes acceptance of all Terms and Conditions

If payment is made by credit card, participant(s) waive any chargeback rights.

Credit Card Authorization, Terms and Conditions and General Information
PERSONAL INFORMATION (as it appears on the credit card)
First name: *
Middle name: *
Last name: *
BILLING ADDRESS
Address: *
City or Town: *
State: *
Zip code: *
MAILING ADDRESS (if different from above)
Address:
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CONTACT INFORMATION
Telephone: *
Mobile: *
Email: *
CREDIT CARD
Amount US$: *
Credit Card Provider: *
Credit Card Number: *
Expiration Month: *
Expiration Year: *
Card Verification Code: *
Fields with asterisk are mandatory Review fare rules, terms, and conditions This ticket is non-refundable. Changes to this ticket will incur change fees up to $250.00 depending on the carrier International trips require special documentation, passport and may require visa and immunization for entry. See an overview of all the rules and restrictions applicable for this fare on your invoice. Read all the terms and conditions by RC Elias Travel Read the airline's ticket terms and conditions Most airline charge a fee for checked bags and meals. This fee is not included in your total trip cost. Yes, I read and accept RC Elias Travel terms & conditions and understand special document requirements