I __________________________________________ hereby authorize VK Travels to charge my Credit Card for travel purpose. This is to be held for security reasons only. This credit card will be charged in case the Check mailed is not received by VK Travels within 7 business working days.

Card No. : _______________________________________

Card Type : Master Card / Visa / American Express (Circle One)

Expiry Date: _____________________________________

Amount : __________________________________ + 4.1% (Merchant account)

CVS (3/4 Digit from back of credit card) : ____________________ (Security Code)

Bank of Issue : ____________________________________

Card Holder's Name : ______________________________

Billing Address : ___________________________________________________________________________________________________________________

Mailing Address : ___________________________________________________________________________________________________________________

Home Phone : ______________________________________

Fax : ______________________________________________
Is the Card Holder travelling ? YES   /   NO
I ________________________________(card holder) agree to pay the travel expenses for ___________________________ (name of person traveling) with my credit card , details of which are listed above.
I understand that the Refund/ Cancellation penalties that have been explained to me relating to this type of purchase will still be applicable and acceptable.
PLEASE FAX THIS COMPLETED FORM WITH CREDIT CARD FRONT AND BACK AND A COPY OF PICTURE ID TO 1-510-770-1934.


Signature of Card Holder : __________________________________

Date : __________________________________