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Consolidator Group Travel | 1-888-476-8702 |
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| Fax to: | 770-393-0084 |
| Attention (Reservation Agt): | ___________________________________________ |
| Your Travel Agency: | ___________________________________________ |
| Passengers Name: | ___________________________________________ |
| Passengers Phone: | ___________________________________________ |
| Passengers address: | ___________________________________________ |
| Passengers city/state/zip | ___________________________________________ |
| Booking Locator # | ___________________________________________ |
| Cardholder's Name: | ___________________________________________ |
| Credit Card billing address: | ___________________________________________ |
| City/State/Zip | ___________________________________________ |
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I do
authorize C.G. Travel Inc. to charge my credit card number:
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| Credit Card#: | ___________________________________________ |
| Exp. Date: | ___________________________________________ |
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In
the amount of USD $_____________ for the airline tickets and other
travel arrangements that I have verbally discussed with them.
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| C.G. Travel Fees: | 1)
Void Fee is $25.00 2) Refund/Cancel Penalty is $50.00 3) Changes are $25.00 4) Airline fee of $______________ 5) FedEx charge is $18.00 (Sat. is $25.00) 6) Travel Agency Cancel Fee: $_____________ |
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I
have been advised of all fees with these tickets and am aware that
tickets are non-endorseable to any other carrier, tickets are
non-transferable to any other person, no refund for "no-show"
(failing to use and failure to cancel) and reconfirmation of return
flight is mandatory.
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I
take full responsibility for the above mentioned charges.
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| Signature: __________________________________ Date: ______________ | |
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Travel
agent has checked and verified the above mentioned cardholders
signature and identification.
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| Agent Signature: ____________________________ Date: _______________ | |