Inka's Empire Tours
2345 Broadway, Suite 638, New York, N.Y. 10024 USA
Tel: +1 212.787.0500, E-mail: firstname.lastname@example.org
CREDIT CARD AUTHORIZATION
If you wish to pay by credit card, copy and paste this page into a new mail message, answer the questions in red and return to email@example.com. For security, please phone in the card number.
In lieu of my credit card imprint, I,
Name of cardholder as shown on credit card:
Hereby authorize Inka's Empire Tours to charge my
Credit card name:
Credit card number: For security, please phone in the card number.
Security code (3 or 4 digits printed on card):
In the amount of:
For itinerary as follows:
Signature: In lieu of my signature, by sending this Credit Card Authorization, I acknowledge the charges described hereon.
Note: Your signature and identification may be required. If so, we will advise you. Payment in full to be made when billed or in extended payments in accordance with standard policy of card issuing company.
Inka's Empire Tours...
© 2013 Inka's Empire Corporation, Machu Picchu Luxury Tours. All rights reserved.