CC Auth Form – Mount Travel and Tours LLC

Credit Card Authorization Form

click the checkbox for form submit"I / We confirm that I / We have read the Terms and Conditions online and accepted all the Terms and Conditions governing our purchase of air ticket or any other services from *Mounttravelusa.com. In addition, I / We also confirm that I / We have verified that all information entered during the reservation process is accurate. I/ We, the above cardholder authorizes the above amount to be charged to the above indicated credit card. I understand that failure to have this form properly completed and returned to *Mounttravelusa.com may result in cancellation of my confirmed services, and that I/ We will be subject to cancellation penalties that are applicable. I verify that all information on this Credit Card Authorization is correctly provided, and that I/ We, the above signed, am the cardholder of the above credit card. My signature also implies that I/ We, the above cardholder agrees not to request any charge backs on the credit card. I / We also acknowledge that this will serve as your electronic signature. (Please check the box to continue). *Mounttravelusa.com trade name- Mount Travel and Tours LLC."

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