Check Payment Form


Check Payment Form

***Fill out this form only if you have been instructed to by Alanita Travel®***
***This is not a Fax form***

Please print out and send this form along with your check before your reservation expires

Send your check to
Alanita Travel®, 87 Common Street, Watertown, MA 02472***

PLEASE CHECK YOUR ITINERARY FOR NAME SPELLINGS. WE DO NOT USE THIS PAGE FOR SPELLING CORRECTIONS.

Alanita Travel® is not responsible for Visa Requirements of any kind

I request Alanita Travel® to issue the tickets below. I am aware that the cancellation fees are from $375 to non-refundable and date changes are from $375 and up
- If your ticket is refundable or changeable, it must be canceled more than 24 hours before departure to be eligible for refund or date changes
- Alanita Travel® is not responsible for seat assignment, Frequent Flyer numbers or meal preference

Names of Passengers:

Last Name / First Name

1. 2.
3. 4.
5. 6.

If passengers are not flying on same dates as each other, please fill out separate forms for each passenger.

Airline
Departure City
Destination City
Departure Date DD  MM   YY
Return Date DD  MM   YY
Customer Phone (Work)
Customer Phone (Home)
Price per adult passenger: $
Price per child passenger: $
Price per infant passenger: $
Courier Shipping: $
Total Amount of Check: $

Signature here: X_____________________ Date:____________________