Credit Card Ticket Form

To: World Travel Network’s , 7217 Hanover Parkway, Suite B
Greenbelt, MD 20770 Ph: 301 345 9300 Toll Free: 1866 986 4247
Please Fax this to (301) 446-3711, (301) 446-3712 or scan it as a PDF FILE ONLY to info@wtnonline.com .

(Credit card holder's Name) request World Travel Network’s to issue the tickets below and authorize World Travel Network’s CTS / CNH to

charge my credit card for the amount listed below.I am aware that all tickets are non refundable. I am aware if my ticket is changeable, any airline penalties plus any applicable fare and tax differences for date change for both used and unused tickets, will be applied based on the airlines. In addition to the airline fees, there will be a service fee of $25.00 per passenger charged by World Travel Network’s .

World Travel Network’s is not responsible for seat assignment, Frequent Flyer numbers, meal preference or VISA REQUIREMENTS of any kind.

PLEASE CHECK YOUR ITINERARY FOR NAME SPELLINGS. WE DO NOT USE THIS PAGE FOR SPELLING CORRECTIONS.

If passengers are not flying on same dates as each other, please fill out separate forms for each passenger.

Agent Name:

Passenger 1

Passenger name as on the passport: (Last name/First name):

Date of birth:

Gender:

Passenger 2

Passenger name as on the passport:(Last name/First name)

Date of birth:

Gender:

Passenger 3

Passenger name as on the passport:(Last name/First name):

Date of birth:

Gender:

Passenger 4

Passenger name as on the passport:(Last name/First name)

Date of birth:

Gender:

Other Details

Airline:

Cardholder Phone (H):

Passenger's Phone No

No Corporate cards allowed

Credit Card / Debit Card Type:

PLEASE BE AWARE IF YOUR CARD IS DECLINED, THERE WILL BE AN ADDITIONAL $10 FEE.

Credit Card / Debit Card Number:

Expiry Month:

Expiry Year:

Total amount to be charged:

Issuing Bank:

Bank Customer service Tel:

Cardholder Name(s):

Cardholder Phone (W):

Passengers Email ID:

Billing Address:

City:

State:

Zip Code:

World Travel Network’s will email you updates for special sale fares and promotions Please check this box if you would not like to receive these emails.
Please send a copy of your credit card front and back *lighten copy along with govt. ID proof.

Yours truly,

Signature here: X__________________________________ Date:__________________________________