9633 Venice Blvd.

Culver City CA 90232

Fax no. 310-838-6783

CREDIT CARD AUTHORIZATION

I _____________________ residing at ________________________________________

hereby authorize Aakash Travel Services located at 9633 Venice Blvd. Culver City, CA 90232 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.

Cardholders Name: ____________________________

Telephone No. ________________________________

Billing Address: __________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Credit Card Name & Type: ______________________

Credit Card #:_________________________________

Expiration Date: _______________________________

Amount Charged: $_____________________________

Details of Tickets charged on this credit card

Passenger Name 1._____________________________ 2.________________________

Passenger Name 3._____________________________ 4.________________________

Airline______________________________________

From ______________________ To __________________

Departure Date: ______________________ Return Date __________________

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

_________________________ _________________________

Credit Card Holder’s Signature Date

Home Phone No.__________ Work Phone No____________

(Please send this form along with copy of Driver License and Credit Card.)

Please check your visa requirements at destination and transit points. Aakash Travel does not guarantee or suggest any visa arrangement thru the Travel Agency
Please print out this form and after completion fax it to 310-838-6783