CRYSTAL Transportation & Tours
                                                    Reservations: (866) 823 8380 
                  
                                                     THIRD PARTY CREDIT CARD AUTHORIZATION



            Please return this Authorization by fax to:  (714) 279 0904 or email to billing@crystaltrans.com
****For security purposes, please include a copy of the front & back of credit card along with a valid identification for the cardholder ****

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CREDIT CARD INFORMATION:


CARDHOLDER NAME : _____________________________________________  PASSENGER: ___________________________________


BILLING ADDRESS:   _____________________________________________ CITY, STATE, ZIP ________________________________


PHONE:  HOME:  ________-_________-______________WORK: ________-_________-___________CELL:______-________-_________


Card Type:     pVISA       pMasterCard        pAmerican Express        p Discover


CARD NUMBER # __________________________________________________________ EXP DATE: _________/___________



  I, the undersigned, authorize CRYSTAL TRANSPORTATION & TOURS  to debit  my credit card for transportation and related services, which may be rendered for the above named organization. 



 Cardholder Signature: _________________________________________________________ Date: __________________