Inter Trips 680 Brea Canyon Road, Suite 268 Diamond Bar, CA 91789 USA Tel: 888-410-4111 / 626-377-988 (CST#2080370)

Credit Card Authorization Form

I, being the Card Holder and a traveler, authorize Intertrips, a tour operator to charge the credit card indicated in this authorization form and for the following named person mentioned below traveling on the same departure date and the same tour as me. I certify that I am an authorized user of this credit card that I will not dispute the payment with my credit card company. If any charge back or dispute arises from my charge, I will be fully responsible for the payment. I further agree that in the event my credit card becomes invalid. I will provide Intertrips with a new valid credit card upon request, to be charged for the payment of any outstanding balance owed to Intertrips.

  • Card Type :
  • Visa
  • Master
  • America Express
  • Discover

Credit Card #

Expiration Date

3 Digit Security Code

Print Card Holder Name

Telephone #

Billing Address

City

State

Zip Code

Tour Date

Departure Date

Return Date

Tour Name/Itinerary

*Please attach a legible photocopy of the front and back of your credit card and a picture ID.

NAME OF PERSONS WHO ARE TRAVELING FOR WHOM I AM RESPONSIBLE FOR PAYMENT ON MY CREDIT CARD AUTHORIZED AMOUNT:

1st Passenger

2nd Passenger

3rd Passenger

4th Passenger

By signing below I understand and agree to Intertrips's general conditions and terms http✓/intertrips.com . I understand the Sales are Final and full tour fees are non-refundable & non-transferable.