EFTA00289153.pdf

:ATS O handling AGENT GENERAL WINAIR From To From To The total ticket(s) price is: AUTHORIZATION FORM Here is your itinerary: Flt# Flt# Date Date EUROS LOCATOR #: Time Time You have 36 hours to issue your tickets after that this proposition should be cancelled To confirm this reservation and purchase your tickets Please fill out the form below and return it by fax to : AUBIN TRAVEL SERVICES & HANDLING Authorized a• ent for WINAIR SBH Fax from US Web site: Purchaser first name: Mail : Address: Last name: Telephone: Email: Fax: Passenger!: Last Name: Passenger2: Last Name: Passenger3: Last Name: Passenger4: Last Name: Passenger5: Last Name: Passenger6: Last Name: First Name: Age (if child): First Name: Age (if child): First Name: Age (if child): First Name: Age (if child): First Name: Age (if child): First Name: Age (if child): I authorize AUBIN TRAVEL SERVICES & HANDLING to charge my credit card: (NO AMEX) 0 VISA 0 MASTER CARD CARD NUMBER: •-• • • • • • • • • • • • • • DATE OF EXPIRATION: / •-•-•-•-• SECURITY CODE: / / (ONLY LAST 3 nicarsi Card holder's signature: Date: * For an e ticket refund winair charges 25 euros of penality per coupon flight unused (25 euros for an one way and 50 euros for a round trip). EFTA00289153