Visa Master Jcbcredit Card Cardholder Authorization Form

English name: First name
Last name
Title: /
Hotel name:
Single(1 breakfast) Twin (2 breakfasts)Double (2 breakfasts)
Check-in Date: (DD/MM/YYYY)
Check-out Date: (DD/MM/YYYY)
Date of birth: (DD/MM/YYYY)
Nationality：
ID/Passport Number：
Traveler’s Mobile : / +country code:
Contact E-mail：
Transportation
Type of vehicle(From airport) / Camry(4 seaters/ for 2 people / 2 pieces of Luggage)NTD$1300/trip
VW T5(9 seaters/ for 4 people / 4 pieces of Luggage )NTD$1600/trip
Arrival Date: (DD/MM/YYYY)
Flight Number
Welcome board / Yes / NTD$200/per trip No
Type of vehicle(To Airport) / Camry(4 seaters/ for 2 people / 2 pieces of Luggage)NTD$1300/trip
VW T5(9 seaters/ for 4 people /4 pieces of Luggage )NTD$1600/trip
Departure Date: (DD/MM/YYYY)
Flight Number
Invoice information
Other Requirements

Please complete the Guaranteed Reservation Form with a credit card as below.
Our representatives will process your hotel booking request as soon as possible and will let be in touch regarding the details of your booking. Thank you.
Email: /

Visa、Master 、JcbCredit Card Cardholder Authorization Form

I hereby agree to pay the bill below to Lion Travel Service CO.,LTD with by Credit card by issuing this letter of authorization.

Merchant No. / Lion Travel Service CO.,LTD / Merchant Name / 15838383800
Credit Card Holder Name
(First name/ Surname) / ID/Passport No.
English Name
(Same as Passport) / Phone No. (Home)
Birth Date / DD / MMM/ /YYYY / Cell Phone No.
Purchase Date / DD / MMM/ /YYYY / Issued Bank
Credit Card No. / ─ ─ ─
Expiry Date / MMM/ /YYYY / 3 digit Security No.
Amount / NTD
Signature / (sameas on the Credit Card)
Billing Address
Company Name (Full Name)：
Company Address：
GUI number：
※Please fill in the amount and sign on the Signature blank, Thank You.
Staff：Jessica Hwang
TEL：+886-2-87939000#2142
FAX：+886-2-6607-1266
E-MAIL：