8249 Aster Tinley Park IL 60477 Tel. (708) 532-4500 Fax (708) 532-4040
In lieu of my (credit / debit ) card imprint, I _______________________________________________________________
hereby authorize ANGEL TRAVEL, INC to charge my
(VI, MC, AX, DS ) # ________ - ________ - ________ -
expiration date ______________ SID code_____________( Note: EVA / KE / CI / SQ / MH do not accept Discover Card)
in the amount of $_____________________ for payment of transportation for myself and /or (make sure to use name in the passport)
(Note: most debit card has a
credit limit per day, please make sure that your bank is aware of the
1)_______________________________________Passport#_________________Date of Birth____________ Nationality __________
2)_______________________________________Passport#_________________Date of Birth____________ Nationality __________
3)_______________________________________Passport#_________________Date of Birth____________ Nationality __________
4)_______________________________________Passport#_________________Date of Birth____________ Nationality __________
(You must have a valid passport, 6months before expiration date, and the necessary visas to visit certain countries.
Your passports must be valid for the entire travel period and also for entry to selected countries.)
For travel from _______________________ to _________________________ by _______________________Airlines
Departure date __________________ Return date__________________ Trip locator code___________________
My credit card billing address _______________________________________ Phone ____________________(Home)
My ticket mailing address
(Please write clearly)
_____________________________________________ Phone ______________________
Email address______________________________________ Seat Request: Aisle Window (NW/UA/AA, TG/EVA -premium class)
Tel # at your destination:__________________________ My airline membership number: __________________________ (optional)
There is no shipping fee if your tickets are electronic transactions. Some destinations, or some airlines which we have to issue paper tickets,
we will ship your ticket by Federal Express 2nd
day air service, and your credit card will be billed $16.
FedEx cannot deliver to PO Box address and will require signature to release the shipment.
Note: Identification is required (if the credit card holder is not the passenger)
Please provide a photocopy of Credit card and Passport or Driverís License of the cardholder.
By signing below, I acknowledge charge described hereon. Payment in full to be made when billed or in extended payment in accordance with the
standard policy of the company issuing the credit card. I do understand that there will be penalty applied for change or refund once ticket issued.