Paradise Business Travel Care

Credit Card Form

Legal Business Name

Billing Address

City, State, Zip Code

Contact Name

Title

Phone number

Re-enter Email Address

Cardholder Name

Card Type

Card Number

Expires (MM/YY)

Security Code

I certify I am an authorized user of the credit card listed above and have authority to approve business-related travel charges on behalf of the Company shown above.

I authorize Paradise Travel Group, LLC to process charges for approved business travel including airfare, lodging, transportation, deposits, final payments, change fees, and cancellation penalties.

I understand Paradise Travel Group acts as an intermediary for third-party suppliers and charges may appear under supplier merchants name.

Card Holder Printed Name

Date

Signature

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