Three Canterbury Green, Stamford, Connecticut 06901
Ph: (203) 327-2220 Fax: (203) 353-8488
email: condortravel@us.amadeusmail.com web: www.condortrvl.com
When paying with credit card, the cardholder isrequired to complete this form in full, sign it and send/fax it back to ustogether with PHOTOCOPY OF CREDIT CARD (on both sides) and a photocopyof your Driver's License or other Government issued picture identification.ID verification is mandatory for the processing of this Power of Attorney. Make sure that the copies are legible. Otherwise this authorization is worthlessand your travel order cannot be processed.
As a client of CONDOR TRAVEL & TOURS, Inc., I hereby appoint the owner, manager and all the employees of CONDOR TRAVEL & TOURS, Inc. to be my attorneys-in-fact for the purpose of signing any documents necessary to purchase and issue the following airline tickets and/or other travel related products and services requested by me. I authorize any of my attorneys-in-fact to sign credit card authorizations on my behalf, and intend such signature to bind me the same as if I had personally signed for the purchase of the services in reference. I agree that I will pay for all such purchases and will not hold CONDOR TRAVEL & TOURS, Inc. responsible for any of its actions pursuant to this power of attorney. This Limited Power of Attorney is a one time transaction and limited exclusively to the services described below.
PASSENGER NAME(S): _____________________________________________
_____________________________________________
TYPE OF SERVICE(S) REQUESTED:
Airline Tickets
VacationPackage
Cruise Reservation
Hotel Reservation
Car Rental Reservation
Train/Motor Coach Reservation
Other___________________________
RESERVATION/CONFIRMATION NUMBER: _____________________________
DATES SERVICEPROVIDED: _____________________________
TOTAL AUTHORIZED SALES AMOUNT $: _____________________________
TYPE OF CREDIT CARD (ex. Amex/Visa/MasterCard): _____________________________
CREDIT CARD NUMBER ____________________________________ EXP DATE_________
CARDHOLDER'S NAME (as imprinted on credit card): ________________________________
luxury hotels in StuttgartCARD BILLING ADDRESS _____________________________________________________
Street_____________________________________________________
City, State, Zip Code___________________________________________________
Country______________________________
CARDHOLDER'S PHONE: (Day): _________________ (Evening)______________________
DRIVERS LICENSE OR GOVERNMENT ISSUED PICTURE ID Number: ______________________________
Please check here to indicate that you have included both of thefollowing:
Photocopy of your passport/Driver's License showing your picture &signature;
Photocopy of the front and back of yourcredit card.
__________________________________________ _______ /______ / _______
CARDHOLDER SIGNATURE (as appears oncard) MONTH/DATE/YEAR