AUTHORIZATION TO CHARGE MY CREDIT CARD
From:
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Last name:________________________ |
First name:______________________ |
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Address:__________________________ |
City:____________________________ |
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State/Province:___________________ |
Post Code:_______________________ |
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Country:__________________________ |
e-mail:__________________________ |
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Tel:______________________________ |
Fax:_____________________________ |
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To: Tokouzi Panagioti |
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( )Please charge my credit card, the total cost of my
accommodation. |
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TYPE OF CARD:_________________________________________________________ |
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CREDIT CARD NUMBER:___________________________________________________ |
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ENRER THE 3 DIGITS LOCATED
IN THE BACK OF THE CARD:___________________
NAME ON CARD:_________________________________________________________ |
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EXP. DATE:____________________________________________________________ |
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* Terms and conditions If however, I notify you of my intent to cancel less
than two weeks, but more than 24 hours prior to my arrival date, I will be
charged a cancellation fee equal to the cost of the first three days or
50% of the total cost of my accommodation, whichever is greater. Non-shows
will be charged the full cost of the reservation. |
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SIGNED:
___________________________DATE:______________________________ Comments:_____________________________________________________________ |
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