Card Holder's Name (First & Last)
Type of Credit Card
Credit Card Number & EXpiration Date
Dollar Amount

I, _______________________________, the undersigned authorized International Grandway Travel to charge    my credit card number _________________________________________Exp ________________ for the amount of USD $_________________(__________________________________________) Airline(s):_______________________________________________________________________ Routing________________________________________________________________________ For passenger(s):______________________________________________________                            ______________________________________________________                            _______________________________________________________                             Address_______________________________              _______________________________              _______________________________ Phone    ___________________  Cell  ____________________ Work ________________ E-Mail Address __________________________                          Signature  __________________________ Date  _________________ Please return this form with a copy of your DRIVER LICENSE and CREDIT CARD after your verification and signature.  Thank you. International Grandway Travel   2883 E. Colorado Blvd., Pasadena CA 91107          Intlgrandway@yahoo.com Fax: (626) 577-2223