A-Plus Travels - Your Destination Headquarters!
13009 Old Stage Coach Road, Suite 1716 • Laurel, MD 20708 • (301) 498-2866 • (877) 785-2504

 
Credit Card Request Form
CREDIT AUTHORIZATION
For A-Plus Travels or its Ticket Processor

A-Plus Travels • 13009 Old Stage Coach Road, Suite 1716 • Laurel, MD 20708
(301) 490-2265 Reservations & Admin

Fax paperwork to the above number. 		 


Unless instructed differently, please fax the following items:
(1) THIS AUTHORIZATION FORM
(2) PHOTOCOPY OF CREDIT CARD (BOTH SIDES) and
(3) PHOTOCOPY OF DRIVER'S LICENSE OR PASSPORT

Please include your six-digit reference code:________________

Fill in CREDIT CARD TYPE
( ) Visa     ( ) MasterCard     ( ) American Express     ( ) Discover Card

Card Holder's Name:____________________________
Credit Card Number:_________________________ (Print Clearly)
CVC Number:_________________ (last 3-4 digits of number on back of card)
Expiration Date:_____/_____
Bank phone (see back of card):___________________
Billing address where you receive credit card statements:
_______________________________________________
_______________________________________________
Card Holder Phone:_____________________________
Card Holder Work Phone:________________________ Cell_____________________

I, the card holder, ____________________________ have read and understand the terms and conditions of A-Plus Travels and agree to them completely (click here to review: Terms). I authorize A-Plus Travels or its affiliated ticketing agency to charge in full the amount of $______________________ for travel related service for the following passenger(s):
____________________________________________________
____________________________________________________
(include self in list if applicable)

Sign below that you agree to the conditions on this form.

CARD HOLDER SIGNATURE: ____________________________ DATE:_________________________
Shipping Address for paper tickets or e-ticket receipts, if mailed:
_________________________________________________________