ACH Authorization Form
Please Fax this to (617) 701-1750 or scan it as a PDF FILE ONLY to firstname.lastname@example.org
This form must be FULLY completed before tickets can be issued.
To: Alanita Travel®, 87 Common Street, Watertown, MA 02472 Ph: (617)923-4810 Fax No:(617) 701-1750
By signing this form you gave us permission to debit your account for the amount indicated on or after the indicated date. This is permission for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account.
**Please check your itinerary for name spellings. We do not use this page for spelling corrections***
87, Common Street, Watertown,
MA 02472, USA
Plot No:56,Unit No:101,
New Mark House,Patrika Nagar,
No. 44 Krishnashree Building
First Main Road Gandhi Nagar,
Adyar, Chennai Pin-600020