Date Change and Authorization SITE_TITLE

Date Change And Authorization Form

***This form must be FULLY completed before date changes can be made.***
To: Lowfareindia, 7217 Hanover Parkway, Suite B
Greenbelt, MD 20770     Ph: 301 220 2141    Fax No: 301 220 2150, 301 560 3499
Please Fax this to 301 220 2150 or scan it as a PDF FILE ONLY to info@lowfareindia.com

I, (Credit card holder's Name) request Lowfareindia to to make the following date changes noted below and authorize Lowfareindia / CTS / CNH to charge the amount listed below.

- Lowfareindia is not responsible for seat assignment, Frequent Flyer numbers, meal preference or VISA REQUIREMENTS of any kind
- 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

**Please check your itinerary for name spellings. We do not use this page for spelling corrections***

Names of Passengers:(Last Name / First Name)

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

Departure Date changed From
Return Date changed From
To

Lowfareindia will email you updates for special sale fares and promotions Please check this box if you would not like to receive these emails.

Please send a copy of your credit card front and back *lighten copy along with govt. ID proof.

Yours truly,

Signature here: X_____________________ Date:____________________