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CREDIT CARD AUTHORIZATION
If you wish to pay by credit card, copy and paste the following instructions
into a new mail message, answer the questions and return to
lsalas@andestours.com
Name of cardholder as shown on credit card:
Hereby authorize Andestours to charge my credit card
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Credit card name:
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Credit card number: For security,
please phone in the card number.
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Expiration date:
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Security code (3 or 4 digits
printed on card):
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In the amount of:
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For itinerary and departure date:
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Billing address:
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Home Phone:
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Office Phone:
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.
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