IslandChinaVisa.com
A DIVISION OF CANADATRAVELSERVICE.COM



Credit Card Authorization Form

  
BOOKING INFORMATION:

Airline: ______________________________________


Departure date: _______________________________


Return date:    ______________________________


Where to where: ______________________________


Tourist Visa : Single Entry |_|  Double Entry |_| 
Business Visa : Single Entry [ ] Double Entry [ ] Multiple 6  months []
China Tour [ ]  



PAYMENT INFORMATION:



Name       ____________________________________(as shown on CREDIT CARD)

Credit Card Type:
                 Visa |_|   Master |_|   America Express |_| 

Credit Card Number: ____________________________________


Expire Date:        _________________


CCV Number :        _________________
what is a ccv number ? 


Mailing  Address ____________________________________

    
                 ____________________________________


Phone Number     ____________________________________


Email Address    ____________________________________


No. of Passports ____________________________________


Card Holder Name ____________________________________

Card Holder
Signature        ____________________________________


Billing Address  ____________________________________


                 ____________________________________

I hereby authorize CanadaTravelService.com to charge my card in the
amount of CAD$____________ or USD$___________ for payment of
Visa and China tour


Send also copy of credit card (front and back) and your ID 
(Driver license, Passport) to:

Fax: 1-866-886-1041


Mailing address:
CANADATRAVELSERVICE.com 

Suite 415, 1095 Mckenzie Ave
Victoria BC V8P 2L5


Island China Visa is a departments of CanadaTravelService.com

ALL BC Reg # 34848