I *, the credit card holder hereby authorize TaurusTrip to charge my credit card or designated supplier by TaurusTrip to charge my Credit Card as per particulars below. I fully understand and agree on the itinerary and restrictions on the ticket(s) already Explained or E-mailed to me by TaurusTrip . I am also fully responsible for any Charge back dispute and  Non-payment to Credit card Company or Issuing Bank. Please verify all the names and dates and fill out this form

Itinerary Received:  Yes No          *
Total Amount to be Charged (in $) *
Company Name:
Credit Card Holder's Name: *
Card Holder Billing Address: *
City: *
State: *
Country: *
Zip: *
Card Holder's Phone : *
Credit Card Type : *
Credit Card Issuing Bank / Company: *
E-mail Address : *
I have verified the complete itinerary as per my request.
Card Holder's Signature : *
Passenger's Details

Name as on passport Gender
* *

Comments / notes:

* For added security, credit card numbers will be taken over the phone by your travel coordinator.

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