Isha Travel Management Inc.
  Tel : 1-877-FLY-ISHA ; Email : info@ishatravels.com
Fax:(877) -359-4742.

     Account Debit Authorization Form

                                      I, ____________________________________ hereby authorize Isha

Travel Management Inc., to debit my account  ____________________________________(Account number),

Routing number
____________________,Cheque no_______________on ____________(date)

with_______________________________________________
(name of the bank & branch) for 

USD_____________(amount) towards the  purchase of my air tickets.

  

                       I understand that the amount debited is towards the purchase of my air ticket and agree to the terms and conditions listed in our website under  "Policies"  ……

 

   

Signed__________________________________________ Date:_________________

 

Address: ______________________________________________________________

 

City: __________________________________   State:____________ Zip__________

 

Telephone____________________________Fax: ______________________________ 

 

Email:________________________________ 

 

Travel Details:

Destination: From ___________ To ____________

Departure Date:_______________

Arrival Date:__________________

Airlines:___________________

 

***NOTE: Also need a copy of the check used and a copy of driver's license.