In lieu of my credit card imprint, I  (Name of card holder as shown on card) hereby Authorize 3S Travel INC,

Consolidator or issuing agent or Carrier to charge my Credit Card   (Card Type)

Card Number#                Exp Date:

In the amount of $    for payment of transportation of myself and or


(Full name(s) of Passenger(s) if other than cardholder)

For Itinerary as Follows:

My Billing Address:



Phone # Home:

Phone # Work: 

Phone # Cell: