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Backup Only Form

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Backup Only Form

Backup Only Form
To: Alanita Travel®, 87 Common Street, Watertown, MA 02472
Ph: (617)923-4810
Fax No: (617) 701-1750 Please Fax this to (617) 701-1750 or scan it as a PDF FILE ONLY to alanita@alanitatravel.net

I, (Credit card holder's Name)request Alanita Travel to issue the tickets below and authorize Alanita Travel/SLT/CTS/TAT/ MRT to charge my credit card for the amount listed below. I am aware that all the tickets are nontransferrable and non-refundable; in-case of refundable ticket I am aware the penalty may vary from $375 and above per ticket. I am aware if my ticket is changeable, any airline penalties plus any applicable fare and tax differences for date change on both used and unused tickets will be applied based on the airlines. In addition to the airline fees, there will be a service fee of $25.00 per passenger charged by Alanita Travel. I am also aware that the airline that I am purchasing may not accept credit cards, so it may not be possible for me to receive any additional benefits or insurance offered by my credit card company.In case of any legal disputes, all claims must be brought in a court located in Middlesex County, State of Massachusetts, USA.

Alanita Travel® is not responsible for seat assignment, Frequent Flyer numbers, meal preference or VISA REQUIREMENTS of any kind

NAMES OF PASSENGERS: PLEASE CHECK YOUR ITINERARY FOR NAME SPELLINGS. WE DO NOT USE THIS PAGE FOR SPELLING CORRECTIONS.

Passenger 1

Last name as in the passport:

First name as in the passport:

Date of Birth

Gender Passenger 2

Last name as in the passport:

First name as in the passport:

Date of Birth

Gender Passenger 3

Last name as in the passport:

First name as in the passport:

Date of Birth

Gender Passenger 4

Last name as in the passport:

First name as in the passport:

Date of Birth

Gender Airline Cardholder Name(s) Cardholder Phone (H) Cardholder Phone (W) Passenger's Phone No. in India Passengers Email ID

No Debit cards/Corporate cards allowed

Credit Card Type

Discover Cards not accepted on Swiss, Air India, Kuwait, Jet Airways, Austrian, Gulf and KLM.PLEASE BE AWARE IF YOUR CARD IS DECLINED, THERE WILL BE AN ADDITIONAL $10 FEE

Credit Card / Debit Card Number Expiry Date

Total amount to be charged Billing Address: Add: Add City

State

Zip Code

Issuing Bank

Bank Customer service Tel

Alanita Travel will email you updates for special sale fares and promotions Please check this box if you would not like to receive these emails

*Please send a copy of your Credit Card front and back *lighten copy please

*You also acknowledge - "In-case-of any legal disputes, all claims must be brought in a court located in Middlesex County, State of Massachusetts, USA."

Your's truly,

Signature here:____________________

Date:____________________

USA

87, Common Street, Watertown,
MA 02472, USA

617-923-4810 | 888-465-4282

617-701-1750

alanita@alanitatravel.net

Hyderabad

Plot No:56,Unit No:101,
New Mark House,Patrika Nagar,
Madhapur Village,Sherlingampally,
Hyderabad Telangana-500081

040-4953-2535

617-701-1750

alanita@alanitatravel.net

Chennai

No. 44 Krishnashree Building First Floor,
First Main Road Gandhi Nagar,
Adyar, Chennai Pin-600020

044-2442-0712 | 2445-2329 | 2445-2330 | 2445-2331

617-701-1750

alanita@alanitatravel.net

DALLAS-FORT WORTH,TEXAS

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