Ongoing Credit Card Authorisation

This form can be completed for those who wish to establish on ongoing credit card authorisation.

As this form requires a signature, you can complete the form online and then print the form and fax it to us on 08 8981 1462.

I hereby authorise Travellers World to charge my (please tick): American Express Card ID Number: ___________ Visa Master Card Bank Card Diners Club
Card Number:
Expiry Date:
Cardholders Name:
Other authorisated representatives :
I authorise the use of the following credit card for the purchase of all travel booked by myself, or my authorised representative(s) as listed below, pursuant to: verbal email (please tick which are applicable) by myself or my authorised representative(s). PLEASE NOTE: Travel arrangements cannot be finalised until we have received this nominated authority.
Indemnity: If for any reason any travel service provider is unable to provide the services paid by this transaction, I hereby indemnify Travellers World in agreeing that the card holder’s remedy lies against that provider, and not against Travellers World. In the event that payment has been made to Travellers World by credit card, I agree that I will not seek to charge back this payment to Travellers World.
Signature:
Date: