ZEiNO :: the travel experts

1.) Please print out this form. 2.) Complete all of the fields applicable to you. All fields in bold are required. 3.) Sign the form and print your full name. 4.) Fax the form back to ZEiNO at (415) 564-4303. Or Scan this Document and E-mail to 888@zeino.com or zttfax@yahoo.com

Substitute Universal Credit Card Charge Form

DATE ________________

IN LIEU OF MY CREDIT CARD IMPRINT, I _______________________________ (NAME OF CARDHOLDER AS SHOWN ON CREDIT CARD ) HEREBY AUTHORIZE

_Lufthansa_and_Or_United_________(ISSUING CARRIER / TRAVEL AGENT NAME) AIRLINE /ZENO TRAVEL TO CHARGE MY Record locator:*

____ Visa ____ MasterCard ____ American Express (Credit Card Type)

_____________________________
Credit Card Number

___/___/___
Expiration Date

___________
Security Code

$____________ USD FOR PAYMENT OF TRANSPORTATION OF MYSELF AND/OR
Amount To Charge Phone Number (H):*___________________
I also declare that I am aware that
______the tickets are purchased are subject to refund/exchange penalties
______the tickets are purchased are non refundable
I am satisfied that such restrictions have been explained to me.

___________________________________________
Full Name(s) of Passanger (s) if other than Cardholder

___________________________________________
Billing Street Address

___________________________________________
Billing City, State, Zip

NOTE: Identification is required. Please provide Photostat copy of the credit card (front and back ) and passport or driver's license of the cardholder .

By signing below, I acknowledge charges described hereon. Payment in full to be made when billed or in extended payments in accordance with standard policy of the company issuing the credit card.

_______________________ Cardholder Signature	_______________________ Printed Name

Telephone: (415) 564-4353	Weekend Telephone: (415) 287-3612
Facsimile: Please call first (415) 564-4303	Electronic Mail: 888@zeino.com

DESTINATIONS: EUROPE, ISRAEL, HAWAII, MEXICO, COMMONWEALTH STATES, AFRICA, ORIENT'S AMERICA

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