Please print this page,fill-out and fax it along with
a) Copy of check
b) Photo-copy of Driver's License of the Check Holder

hereby authorize Expressway Travel to issue the ticket for which I'm making the payment. I received complete details of the travel services that I'm purchasing from Expressway Travel including change/cancellation/refund/no show policies and penalties for the said travel services and I agree with the terms and policies as given in the www.expresswaytravel.com. I'm aware upon this authorization I will be subject to applicable change/cancellation/refund/no show policies and penalties. I'm also aware that Expressway Travel will send the travel documents to me when they are received at the agency from their suppliers. This authorization form signed by me and faxed to Expressway Travel is my authorization to my Bank to pay the below mentioned amount to Expressway Travel. I understand this authorization maybe used to obtain funds using an Electronic fund tranfers/check presentment process for the amount authorized below. I'm aware if the Bank rejects my check for insufficient funds in regards this authorization, I will be liable to the maximum collection fees allowed by the laws of the state of residence in addition to the amount authorized by me. I hereby authorize Expressway Travel and/or their representative, to make the cash my check. I have fully read, understood and agree to Expressway Travel's policies which is posted on Expressway Travel website www.expresswaytravel.com. I understand that a Travel Network or a major airline carrier name will appear on my credit card statement. I have reviewed the itinerary and understood the penalities associated with change, cancellation and no show, for this particular itinerary/Airlines for which I'm making the payment.