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travel services

Credit card payment authorization

Fax form for Mykonos Accommodation Center

Reservation Center and travel agency on Mykonos island, Cyclades, Greece.

 

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Please complete and attach this form in your email or fax it to us, if you wish to pay by credit card.
If needed you may ask us also for our bank accounts.
The guest or his/her companions must be the cardholder.
Please include here your file number: (Our Ref. Nr.:............). Thank you.
 

DATES:  NIGHTSDESCRIPTION ACCOMMODATION PRICE TOTAL AMOUNT
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        I hereby authorize Mykonos Accommodation Center to charge the Euro amount of :  .......................................................

        to my credit card as of.............................(enter date)

        Balance payment of Euro .....................can be charged to the same credit card  as of ......................(enter date)
Type of Credit Card:  [VISA]     [MasterCard/ Eurocard]     [AMEX]     [DINERS]
    [ VISA Electron ] or with
 


       Credit Card Number:......................................................                       (please carefully double check the number)

       Expiration Date:.........../..........(month/year) . For AMEX we need also first validity date:........../...........  (month/year).

       Cardholder's Name: ..................................................................................................................................................

       Credit Card billing address:.......................................................................................................................................

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

        City:........................ State:................... Postal Code:.............................Country:......................................................

        Cardholder's Telephone:................................................... and Fax nr..................................................................... 
                                                                                                    ( for a copy of your official reservation voucher)

 

        Remarks:..................................................................................................................................................................

        I have read, understand and agree to the above stated terms, payment schedules, deposit policy and cancellation policy
        as explained in the General Sales Conditions. I certify that I am at least 18 years of age. 
        My reservation with Mykonos Accommodation Center becomes a contract upon receipt of either the deposit or full payment.
        If the undersigned guest fails to meet the outlined deposit and payment schedule, Mykonos Accommodation Center
        reserves the right to cancel the reservation and to assess the handling fee as outlined in the General Sales Conditions.

        Cardholder's  Signature:............................................
                                                    Date:................................. 

 

MYKONOS ACCOMMODATION CENTER

Enoplon Dynameon 10 (upper floor)
End of Matoyianni (main street)- Mykonos   
Postal Address: P.O. Box 58 - 84600 Mykonos-Greece
Tel: +30-22890-23160 or 2289023408 / or 2289028160
& Fax: +30-2289024137
e-mail address: info@mykonos-accommodation.com

 

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last update May 22nd. 2009