CREDIT CARD AUTHORIZATION FORM

I   client of Chicago Hajj & Umrah Group, is to confirm that, in keeping with all applicable laws. We are instructing to Chicago Hajj & Umrah Group to issue the Airline Tickets and Hotel packages as per the credit card detail listed below.

I furthermore agree to pay any Panalties for Airline or Hotel Packages in case I re-issue or cancel my ticket or package. In addition to both ticket and package services, I also authorize to Chicago Hajj & Umrah Group to change my ticket and package fees as per Airline or Hotel Package charges.

Being a card holder, I understand and accept the Airlines restrictions and I also accept that most of the Airlines tickets are Non-Refundable.

CREDIT CARD: VISAMASTER CARDAMERICAN EXPRESS (Merchant service charges for 3% Visa & Master Card , 5% for American Express for Land package only. No Merchant service charges for Air Fare) Name as on Card Credit Card Number Expiry Date 01 02 03 04 05 06 07 08 09 10 11 12 2020 2021 2022 2023 2024 2025 2026 2027 2028 2029 2030 Security Code / CVV [Call us @ (773) 465-8500 Ext. 3 or (773) 377-8699 to give the SEC code after filling in the card details] Pay for Ticket(s) Amount $ Hotel(s) Amount $ Deposit Amount $   HajjUmrah

"PLEASE SEND US THE COPY OF DRIVER LICENCE/GOV. ISSUED ID & CHARGE CARD FRONT & BACK"

CARD HOLDER & TRAVELLER(S) INFORMATION
CREDIT CARD HOLDER INFO	NAME OF TRAVELLER(S)
Address City State AK AL AR AZ CA CO CT DC DE FL GA HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA RI SC SD TN TX UT VA VT WA WI WV WY Zip Code Phone Email	Name + Name + - Name + - Name + - Name + - Name + - Name + - Name + - Name + - Name -

    I agree and commit that I will follow all the rules for Cancellation & Date Change, and also the Terms and Conditions for Airlines and Hotels.

Please Note: If the Saudi Embassy is unable to provide visa on time, Chicago Hajj & Umrah will not be responsible for any damage/cancelations. If this occurs, try and keep a positive mind set as ticket/hotel booking can be rescheduled with an additional charge.

• Only U.S.A. Credit Card and Billing CCNumber will be accepted.
• Prices are Not Guaranteed until Ticketing.
• This form must be completed by the Card Holder only.