Picasso Travel will not process bookings without a customer's signed credit authorization form.

Your order will not be processed until we receive this form. Please send it to the attention of ALEV.

If you are using the Passenger's Credit Card, please print and fax the signed authorization form to 310-645-0412.

If you cannot print this form, please contact us at 310-645-4400 and we will fax you a copy of the authorization form.
Please print your Order ID/PNR: _______________

Credit Authorization Form
I  
_______________________
(Credit Card Holder's Name) 		understand that Picasso Travel will act as the merchant
on the behalf of  
___________________
(Travel Agency Name) 		for my purchase of airline tickets for the amount of $ __________.
I authorize Picasso Travel  to charge my  
___________________
(Type Of CreditCard) 		Number ____________________,
 Security Code (CCV):______
 		  

with expiration date ______/_____.

Card Holder's Contact:
Street : __________________________________

City : _____________________________

State : ________________

ZipCode : ___________

Phone : __________________

Fax : ____________________

Signed : _________________________

Name : ___________________________

Date : _____________________________

NOTE: ID IS REQUIRED. PLEASE PROVIDE A PHOTO COPY OF CREDIT CARD (FRONT AND BACK) AND PASSPORT OR DRIVER'S LICENSE OF CARD HOLDER. 3RD PARTY CREDIT CARD WILL NOT BE ACCEPTED.
We can only accept credit cards that are issued in the United States.		 Click here to print this page
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