ALLPOINTS
CORPORATE EXPRESS
CREDIT CARD AUTHORIZATION
PLEASE FILL OUT AND FAX TO 972 291 5828
TYPE OF CARD - AMEX [ ] MASTERCARD [ ] VISA [ ] DINERS CLUB [ ] DISCOVER [ ]
KEEP THIS CARD ON FILE FOR FUTURE BOOKINGS - YES [ ] NO [ ]
CARD ISSUED TO _____________________________________________COMPANY _______________(PLEASE PRINT )
CREDIT CARD NUMBER __________________________________________________ EXP. DATE __________________
BILLING ZIP CODE
______________CVC code:____________ PHONE NO. OF CARD MEMBER:(_____)_______________
AUTHORIZED SIGNATURE
_____________________________________________________________________________
AMOUNT OF CHARGE $ _________.____ THIS CHARGE IS FOR ______________________________________________
PLEASE CALL IF FLIGHT CHANGES OCCUR. 100% CANCELLATION FEE IF CANCELED IN LESS THAN 72 HOURS OF THE PASSENGER IS A NO SHOW AT PICK UP POINT.