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SLS Tourist
 
 # 120,3rd Floor, Pamadi Chambers, Dr.D.V.G Road, Basavanagudi, Bangalore - 560 004, Karnataka, India

 Phone : +(91)-(80)-41533745 / 41533746 / 41533747 / 41533748 / 41469036
 
Mobile : +(91)-9342104499 / 9845181507
 
Email : info@keralatourntravel.com
 
Credit Card Authorization Form
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.
   
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
Master Card Visa
   
PAYMENT OPTION  
Straight Budget    [months     ]
   
I, (credit card holder's name) give Kerala Tour N Travels, permission to debit my credit card for the following amount
   
CURRENCY  
INR  
   
Invoiced Amount  :      
Date :      
   
NOTE :  
  • 3% Service fee on invoiced amount