Print & Complete

Credit Card Authorization Form
I hereby authorize Ariel Tours, Inc to charge the following
Basic Charge
Tax & El Al fuel surcharge
subject to change)
+ $595.95
Total amount to charge
to my Credit Card # Exp
(El Al accepts AX, MC, VI, DinersClub only.
Debit Cards not accepted. Discover Card not accepted.)
I agree to pay the charges listed. I will not deny any portion of the charges for any reason.
I have read & understand the rules of this fare (click here to see the fare rules).
Name of Passenger
Name of Israel School
Name of Card Holder
Card Billing Address
City, State, Zip
Card Holder's Phone
Card Holder's Signature
Date
Please fax this form to: (718) 972 0518
or scan and email to: schools@arieltours.com
or mail to:
Ariel Tours, Inc
Attn:School Groups Dept
4311 18th Ave
Brooklyn, NY 11218