Destination TCI

Providenciales, Turks & Caicos Islands Third Party Credit Card Authorization Form

 

 

Name______________________________________

  Date________________________________________

 

  Type of Services__________________________________________________

 

I _____________________________________( Name of Card Holder) hereby

 

Authorize Destination TCI to charge for  above services to charge

 

my credit card $____________________(In US Dollars figures) 

 

___________________________________________( Amount in words).

 

Name Credit Card_______________________________________(Visa, Master or

 

American Express).

 

Credit Card Holder Name______________________________________

 

Credit Card Number______________________________________

 

Credit Card expiration date________________________________

 

Credit Card security number on the back __________________________

 

Billing Address________________________________

 

Telephone___________________________________

 

Signature________________________________________________

 

*All packages are non fundable names can be exchange for other services convience.  Vendors are prepaid for all events.