CREDIT CARD # __________________________________________
As written on the back of credit card - (Include security code)
TURISVISION ACCEPTS: VISA & MASTERCARD
CREDIT CARD AUTHORIZATION FORM
TYPE OF CARD AMEX / VISA / DC / MC ??
_________________
EXPIRATION DATE (DD/MM/YY)
_______________________
CARDHOLDER NAME
____________________________________
(As written on
credit card)
CREDIT CARD # __________________________________________
As written on the back of credit card - (Include security code)
BILLING ADDRESS ______________________________________
CITY
____________________________________________________
STATE ______________________________ ZIP___________________
COUNTRY __________________________________________________
PHONE (INCLUDE AREA CODE)______________________________
I HEREBY AUTHORIZE TURISVISION TO CHARGE
THE AMOUNT OF USD.
ON MY CREDIT CARD
CARDHOLDER'S SIGNATURE_________________________________