Credit Card Authorization
Please print this page,fill-out and fax it along with
a) Photo-copy of Driver's License (Front and Back) of the Card Holder
b) Photo-copy of Credit card (Front and Back) to the fax no. 480-287-8098/916-932-2199

In lieu of my credit card imprint, I,
hereby authorize Expressway Travel and/or their representative, to make the charges specified below to the credit card listed. 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.

Email :

Passenger Names :





Credit Card Number :

Card Type :

Expiration Date :

Card Holder's Phone # :

Card Holder's Name and Address :

Authorized Amount: US $

Credit Card Holder's Signature:

Today's Date :