AUTHORIZATION FORM
:ATS O handling
AGENT GENERAL WINAIR
Here is your itinerary:
From To Flt# Date Time
From To Flt# Date Time
The total ticket(s) price is: EUROS LOCATOR #:
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
Mail :
Web site:
Purchaser first name: Last name:
Address:
Telephone: Fax:
Email:
Passenger!: Last Name: First Name: Age (if child):
Passenger2: Last Name: First Name: Age (if child):
Passenger3: Last Name: First Name: Age (if child):
Passenger4: Last Name: First Name: Age (if child):
Passenger5: Last Name: First Name: Age (if child):
Passenger6: Last Name: 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