ࡱ> W_>bjbj;`;`2HY 7\Y 7\ ZZTNd5!""P%5'5'5'5'5'5'5R7:'59# "!##'50`5r%r%r%# %5r%#%5r%r%)2409m0#"35v505 4:#: 44:40 ##r%,# 8#t # # #'5'5r$ # # #5####: # # # # # # # # #ZR :  AUTORIZAO DE DBITO SERVIOS DE VIAGENS Autorizo e reconheo o dbito em minha conta do carto de crdito abaixo:   EMBED CorelDRAW.Graphic.14   FORMCHECKBOX  Visa   EMBED CorelDRAW.Graphic.14   FORMCHECKBOX  MasterCard    FORMCHECKBOX  Diners    FORMCHECKBOX  Hipercard Nome do titular do carto:  FORMTEXT      CPF:  FORMTEXT      Nmero do carto:  FORMTEXT       FORMTEXT       FORMTEXT       FORMTEXT     Validade do carto:  FORMTEXT      Cdigo identificao:  FORMTEXT     Telefone: ( FORMTEXT   )  FORMTEXT       Moeda  FORMCHECKBOX  Real (R$) N Parcelas  FORMTEXT   Valor da Parcela  FORMTEXT      Total da venda no carto  FORMTEXT       ATENO Qualquer transao realizada fora dos padres contratuais das Administradoras implicar em sanes legais, tanto para o Estabelecimento e seus intermedirios, quanto para o Associado. Ao autorizar o dbito no carto, Associado e Estabelecimento declaram estar cientes e concordar com as seguintes condies: Questionamentos ou cancelamentos dos servios adquiridos devem ser resolvidos entre as partes, de acordo com as Condies Gerais do contrato entre Estabelecimento e Cliente; O Estabelecimento e seus intermedirios so responsveis pela correta aceitao, conferindo na apresentao do carto, sua validade, autenticidade e assinatura do Titular; Esta autorizao vlida por 15 (quinze) dias e sua transmisso por fax permitida apenas para agilizar o processo de venda. Em caso de contestao por parte do Associado, o Estabelecimento responsvel pela apresentao deste original, cpia do documento oficial que comprove a assinatura do cliente e cpia dos bilhetes/vouchers emitidos. Estes documentos podem ser solicitados a qualquer momento pela Administradora; Caso os servios sejam prestados em nome de outras pessoas que no o Titular do Carto, seus nomes devero ser listados abaixo, para maior segurana do Associado. O Associado autoriza a utilizao do carto para pagamentos de terceiros, tais como companhias areas, hotis e/ou receptivos, desde que o valor total da venda e parcelas supra citados sejam honradas podendo ser integralmente ou fracionadamente no ultrapassando os valores e nmero de parcelas acordados. Este documento somente ter validade se acompanhado da cpia do carto de crdito e cdula de identidade (frente e verso), preferencialmente escaneados e enviados por e-mail. Cpias no legveis no sero aceitas.  Viajantes: (para mais nomes, utilizar o verso da autorizao)  FORMTEXT   CPF:  FORMTEXT 35ްsdPA*,j,V h[" 5CJOJQJUV^JaJh[" 5CJOJQJ^JaJ&jh[" 5CJOJQJU^JaJhR5CJ OJQJ^JaJ hR5CJOJQJ^JaJjhPAUmHnHuhRCJOJQJ^JaJ#hRB*CJOJQJ^JaJph!hR5>*B*OJQJ^Jph8jhPAh[" 5B*OJQJU^JmHnHphuhR5B*OJQJ^JphhRB*OJQJ^JphhR35      ! $$Ifa$gd[" $$Ifa$$a$ed[m?ed[m? ɺr^ɲS>(h[" 5CJOJQJ^JaJmHnHuj`h[" U&jh[" 5CJOJQJU^JaJ,j,V h[" 5CJOJQJUV^JaJhR5CJOJQJ^JaJj>h[" Uh[" 5CJOJQJ^JaJjh[" Uh[" 5CJ OJQJ^JaJ h[" 5CJOJQJ^JaJ&jh[" 5CJOJQJU^JaJ&jh[" 5CJOJQJU^JaJ           # $ 2 3 4 ? @ A \ ű|h`U`|MBhR5OJQJ^JhRCJaJj*h[" Ujh[" U&j h[" 5CJOJQJU^JaJhR5CJOJQJ^JaJ,j_ h[" 5CJOJQJU^JaJh[" 5CJOJQJ^JaJ&jh[" 5CJOJQJU^JaJh[" 5CJ OJQJ^JaJ h[" 5CJOJQJ^JaJ7jhPAh[" 5CJOJQJU^JaJmHnHu! # ? @ A  @:$Ifkd*$$Ifed[m?F\j bY(F F  F  t0|)644 FBBait[m? $$Ifa$ $$Ifa$gd[" \ ] g h     0 2 4 > @ B D h j ~ 叚儚ynjZ/hRUj.hRUjZ.hRUj-hRUjhRU$j,hR5OJQJU^JhRCJaJ)jhR5OJQJU^JmHnHu$j~+hR5OJQJU^JhR5OJQJ^JjhR5OJQJU^J+  B D mkd.-$$Ifed[m?FS(F|) t0|)644 FBait[m?$Ifmkd+$$Ifed[m?F(F|) t0|)644 FBait[m?  * , @ B D N P R T     ׹׮׎πqhR5CJOJQJ^JaJhRCJOJQJ^JaJjJ3hRU)jhR5OJQJU^JmHnHuj2hRUj1hRUj0hRUhRCJaJhR5OJQJ^JjhRU)jhR5OJQJU^JmHnHu(D  R mkd/$$Ifed[m?F(F|) t0|)644 FBait[m?$IfR T mkd*2$$Ifed[m?F(F|) t0|)644 FBait[m?$Ifmkd1$$Ifed[m?F(F|) t0|)644 FBait[m?    v x ed[m?mkd3$$Ifed[m?F(F|) t0|)644 FBait[m?$If   : < >  6 8 L N P Z \ ^ ` b 췯|qf|XhRCJOJQJ^JaJj6hRUj.6hRUhRCJaJ)jhR5OJQJU^JmHnHuj5hRUhR5OJQJ^JjhRUhR5CJOJQJ^JaJ,j4h}5CJOJQJU^JaJh}5CJOJQJ^JaJ&jh}5CJOJQJU^JaJ  4 6 ^ {{{{{{$If}kdz5$$Ifed[m?F0 (t t0|)644 Fait[m?^ ` b r |v$Ifed[m?}kd*7$$Ifed[m?F0 (t t0|)644 Fait[m?b r t q"#$ظ檠rbJ<hRCJOJQJ^JaJ.hPAhR>*CJOJQJ^JaJmHnHuj=9hPAhR>*U#hPAhR>*CJOJQJ^JaJjhPAhR>*UhR5CJOJQJ^JaJhROJQJ^JhRCJOJQJ^JaJ#hRB*CJOJQJ^JaJphh[" CJOJQJ^JaJhRCJOJQJ^JaJhRCJaJ"hRCJOJQJ^JaJmHsHr t v sIyyyl_R $ & F$Ifa$ $ & F$Ifa$ $ & F$Ifa$ $$Ifa$}kd7$$Ifed[m?F(F|)  t 0|)644 FBait[m?p :mh_YYY$If $$Ifa$ed[m?jkd8$$Ifed[m?Fx (|) t0|)644 Fait[m? $h$If^ha$ $ & F$Ifa$ $ & F$Ifa$ $()*45: : :::&:(:*:::::::::::::䚈x`Uܧj;hRU.hPAhR>*CJOJQJ^JaJmHnHuj:hPAhPA>*U#hPAhR>*CJOJQJ^JaJjhPAhR>*U1jhR>*CJOJQJU^JaJmHnHuUj:hRUhR>*CJOJQJ^JaJjhRUhRCJOJQJ^JaJhRCJOJQJ^JaJ       FORMTEXT   CPF:  FORMTEXT        FORMTEXT   CPF:  FORMTEXT        FORMTEXT   CPF:  FORMTEXT      CARIMBO E ASSINATURA DO ESTABELECIMENTO  FORMTEXT      ,  FORMTEXT       Local e data. ________________________________________________________________ Assinatura do titular do carto. 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