Fax Form

Credit Card Authorization Form / Third Party Authorization Form

Please Print this form, fill out completely and fax it to the following fax number:
TravOnline.com +971 4 3623851

Fax-in Payment

Transaction Date :

Personal Particulars
Name	....................................................................................................
Telephone	....................................................................................................
Email	....................................................................................................

Payment Particulars
Credit Card Type	Amex Visa & Master Card
Credit Card Number	.......................................................................................................
Secure number (The last 3 digit number appearing on the signature panel for Visa and Master card) (Last 4 digits in front side of the card)	.......................................................................................................
Card Holder's name	......................................................................................................
Company(optional)	......................................................................................................
Street Address	......................................................................................................
City, State/Province	......................................................................................................
Country	......................................................................................................
Zip/Postal Code	......................................................................................................
Expiry Date (MM/YYYY)	......................................................................................................
Remarks	......................................................................................................
	......................................................................................................
Is Credit Card	Personal Company
Card Holder's Signature	......................................................................................................

Booking Particulars

Hotel name

......................................................................................................

Room Type	Check-In Date (day/month/year)	Check-Out Date (day/month/year)

Guest Name :

I understand that TravOnline will appear on my credit card statement for this transaction and that should I have any problems with this order,

I can contact TravOnline for a prompt resolution by emailing to info@travonline.com

Important Note:

A copy of the front and back of the Credit Card is required to validate the cardholder’s signature.