CC Authorization form

Credit Card Authorization Form (Submit Online )

To Process your credit card request, use the form below. Please Fill and Submit Online

Your completion of this authorization form helps us protect you, our valued customer, from credit card fraud. All information entered on this form will be kept strictly confidential. In addition to the completed form, please fax a photo copy, front & back of your credit or debit card along with a photo copy of your passport, or drivers license.

To,
Lawson Travel
1140 Empire Central Drive,Suite 620,
Dallas TX 75247 .
Ph: +(214) 631-2458
Email: info@lawsontravel.com

Agency : Lawson Travel

Agent Name *

I *

Here by authorize Lawson Travel located at USA, to charge on my credit card listed below for travel arrangements made by them. I agree to honor all charges on my account in the matter of this agreement

Billing Address (use same address as listed on your credit card)

City *

State *

Zip Code *

Cardholders Name *

Email address *

Contact Phone No *

Card Type*

{Discover Cards not accepted on Swiss, Air India, Kuwait, Etihad Airways, Jet Airways, Austrian, Gulf, KLM and Turkish. PLEASE BE AWARE IF YOUR CARD IS DECLINED, THERE WILL BE AN ADDITIONAL $10 FEE}

Credit Card Number *

Expire Date *

CVV *

Amount*

I understand that if the ticket(s) are returned for refund purpose there will be penalties and services charges for such refund.

Passenger's details charged on this credit card

Passenger Name(s)*

Airline Name*

From*

To *

Departure Date*

Return Date *

Captcha: enter the letters below

Terms and Condition apply as per regulations.

Full Name for Digital Signature*

Note: In next page, you can submit online or print/scan and send through email.