University Travel Credit Card Authorization Form

University Travel
1888 Eucalyptus Road
Nipomo,CA 93444

(800) 821-5094 ext. 201 or (818) 563-9235

e-mail:     CST registration # 1015591-40

This is to authorize payment to University Travel by credit card. Your credit card will not be automatically charged, but will be charged at the University Travel office once the form is received. 

You may send this information to us electronically by using the "submit" button below, or print it and FAX it to us at: 
(818) 563-9842  

0/100 characters
Secure Credit Card Information:  (Please note - your card is not charged upon submission - we will charge it at the University Travel office).
American Express
Thank you! This authorizes University Travel to charge the above amount for travel services. You will receive an acknowlegment e-mail.