To Process your credit card request, use the form below. Please Fill, Print and Fax it to us at (214) 905-5009.
Your completion of this authorization form helps us protect you, our valued customer, from credit card fraud. All information entered on this form will be kept strictly confidential. In addition to the completed form, please fax a photo copy, front & back of your credit or debit card along with a photo copy of your passport, or drivers license.
Because of new credit card security procedures, do not include your cvc# or 3 digit security code on this form.
This must be e-mailed or provide on phone separately to your agent.
To,Cosmos Travel IncSuite 820, South Tower,Dallas TX 75207 .Ph: (214) 905-2009Email: firstname.lastname@example.org
Terms and Condition apply as per regulations.
Note: In next page, you can submit online or print/scan and sent through email.