| To: Alpha & Omega Tours |
Fax: 787.754.2935 |
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| Card Type: |
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Billing address: |
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| Card Number: |
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City, Sate, Zip: |
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| Expiration date: |
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Departure Date: |
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| Card Holder Name: |
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Reservation #: |
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| Amount To Charge: |
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Card Security #: |
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| I hereby authorize Alpha & Omega Tours and / or, its participating agents to charge my above credit card, for the reservation and amount shown above. |
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| I also acknowledge having read, understood and agreed to Alpha & Omega Tours, terms and conditions |
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| Signature: ___________________________________ Date: ____________________ |
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| IMPORTANT : FOR YOUR PROTECTION, THIS FORM MUST BE ACCOMPANIED BY A COPY OF THE CARD HOLDER DRIVERS LICENSE AND A COPY OF THE CREDIT CARD, FRONT & BACK.
We thank you for your cooperation in helping us prevent credit card fraud. |
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| If you have any a question or need additional information please feel free to contact us via e-mail, phone or fax. |
