GetOneTrip.com
Executive Offices
P.O. Box 960396
Miami-FL. 33296 info@GetOneTrip.com
CREDIT CARD SIGNATURE ON FILE
AUTHORIZATION
Please print this form, complete and fax at (305) 591-0782

Trip (Flight, Tour or Cruise name):_______________________________________________________________________________________________

Record Locator (If you have one):________________________________________________________________________________________________

In lieu of my Credit Card Imprint, I ______________________________________________________ hereby authorize CP TRAVEL
                                                                  (PRINT NAME AS APPEARS ON CREDIT CARD)
    
To charge my:                    z  Mastercard                                 z  Visa                                 z  American Express 

Credit Card Number_____________________________________________________  Exp. Date:___________________________ 

Company Name (If apply)  ____________________________________________________________________________________

In the Amount of: $_________________________________  for payment of air transportation and travel related services for myself and/or the people listed below:

Full Name of Passenger 1:______________________________________________________________________________________

Full Name of Passenger 2:______________________________________________________________________________________

Full Name of Passenger 3:______________________________________________________________________________________

Full Name of Passenger 4:______________________________________________________________________________________

Billing Address: ____________________________________________ City: _____________________ State: _____  Zip: _________

Phone__________________________ Fax:______________________ Driver's License:____________________________________

Email:_______________________________________________________________________________________________________

Please check one of the following:
z This authorization is for this trip only
z This authorization is for unlimited trips

By signing below, I acknowledge the charges as mentioned above and guarantee full payment when billed by the issuing card.


____________________________________________________________________________________________________________
    Cardholder's Signature                                                                                                                Date

    Cardholder Identification required:
  - Clear Photocopy of the Credit Card (Front and Back).
  - Clear Photocopy of Driver's License of State ID or Passport.

  Important: Please note most of airline tickets/tours/cruises are either Non-Refundable or subject to Penalties.
  Please check with us before signing this form