In Lieu of My Credit Card Imprint, I
Hereby Authorize Citiair Travel/or partner payment gateway to charge an Amount totaling USD . I am aware that my credit card may be charged a slightly larger amount than I have authorized due to ticket fare type, but for any overcharge, Citiair Travel will send a refund to me by check within 3 to 5 weeks of ticket issuance from my American Express / Visa / Master Credit Card No CVV: Expiry / .
Credit Card 24 hour Card member Service Tel. #: For Transportation for Myself and/or .
*Relationship: (W: Wife - D/S: Daughter/Son - P: Parent - O: Other please state)
(M/F) Date of Birth: *Relationship:
2. (M/F) Date of Birth: *Relationship:
3. (M/F) Date of Birth: *Relationship:
4. (M/F) Date of Birth: *Relationship:
5. (M/F) Date of Birth: *Relationship:
For the Following Routing
Onward city: Return city:
I understand that the tickets to be issued may have; restrictions, be non-refundable/refundable, change fees and penalties.
Please double check your itinerary for traveler(s) name spellings. This document is not for name check on travelers name in itinerary and corrections.For any name change fare subjected to change (based on seat availability). Citiair Travel is not responsible for baggage allowance,seat assignment, bassinet, wheel chair, frequent flyer program,meal preference or transit/travel visa requirement.
My Billing Address for the Credit Card used is:
Street: City/State: Zip:
Home Phone: Business Phone: Fax: E-mail:
I will support this authorization with scanned copies of my credit card (front and back) and a federal ID such as a valid driver's license. By signing below, I acknowledge full liability for the charge described payment in full will be made when billed in accordance with standard policy of bank issuing the card.Also by signing I accept the terms and conditions
E-mail or Fax this from back to your sales agent @914-798-2580 or email@example.com
SIGNATURE: _________________________________ DATE: _______________
All Form must be received before 5 PM EST for ticketing and no exception(s)
Fare Quoted Subject to Change without notice and Citiair not responsible for any fare change
Terms and conditions
1. Please reconfirm all flights atleast 72 hours before departure.
2. All information related to passenger are kept confidential and secure
3. Prices are only guaranteed if booked and purchased on the same day
5. Some airlines' tickets are non-refundable but can be changed to higher fare
6. Tickets issued may have restrictions, non-refundable/refundable, change fee and penalties apply.
7. Check travel and transit visa requirements with consulate and with the airline before purchasing the ticket.
8. Involuntary schedule changes or flight cancellation initiated by the airline are not the responsibility of Citiair Travel though we will try our best to re-accommodate.
9. Be advised that penalties apply for changes and refunds. Check with your Citiair Travel consultant before purchasing your tickets.
10. Penalties are from $375 to non-refundable per ticket
11. Change for return is allowed for a penalty fr USD $275/ticket and up depending upon the airline
12. Credit card fees are additional depending upon airline
13. No refunds on lost tickets. No refund on partially used tickets.No refund for no show their flights.
14. Citiair Travel are not responsible for cancellations of flights, re-schedule of flights by airlines.
15. Citiair Travel not responsible for seat assignment, bassinet, frequent flyer numbers, meal preferences.
16. Please confirm with airline about the baggage allowance & restriction
17. Parental consent letter for kids (infant/child) visiting India while traveling with one parent
18. Additional charges for shipping.
For any assistance please CALL 1-888-248-4697 OFFICE HOURS 930AM-6PM EST 7 days.
All ticket bound by the terms and condition listed on www.citiairtravel.com/resouces.html.