S19 TRAVEL

Travel Authorisation Form

Please Read Carefully!

S19 Travel is pleased to arrange your travel requirements. To complete your reservation and confirm your arrangements, your signature on this authorisation is required.

This form is required for reserving your booking ONLY. Charges are payable only directly to the hotel, resort, tour operator, cruise line or other travel supplier.

We will NOT process any charges to the card you provide here without your express permission in writing.

Credit Card Authorisation

First Name

Last Name

Billing Address

Address Line 1

Address Line 2

City

Post Code

Country

Credit Card Number

Expiry Date

CVV (last 3/4 digits)

Consent

I authorise S19 Travel to use my details to reserve hotel accommodation, and I am aware of any and all cancellation policy disclosed to me by my agent.

Signature

Sign Here

Date

All information provided in your quote are accurate and correct at this time, but subject to change until your hotel has been reserved/booked and this form completed.

Submit with Confidence

Your Details Are SSL Secured

S19 Travel

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Contact

[email protected]

+44 203 883 0681

85 Great Portland Street
First Floor
London
W1W 7LT

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