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Fax Authorisation for Visa or MasterCard

Name of Cardholder...................................................................................................................

 Billing Address.......................................................................................................................

...................................................................................................................

Country....................................................................

Card Type Visa ....................MasterCard...........................................

Card Number.........................................................................................

Expiry Date............................................................................................

Last 3 digits on the back of the card...............................................

Cruise Details……………………………………………………………....................

Reference number ..................................

Amount Authorised;   Euros ...................

Now in words please ……………………………………………….........................

I hereby authorise you to debit my account for the amounts stated above.


Signature of cardholder

...............................................................................................................

Today's Date....................................................
 

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