Thira Sailing - S/y Caldera Catamaran 2

With captain Leo

Pixel tour Travel Agency Manager: Nikos Sirigos

Fira- Santorini - Greece - Zip Code 84700

Tel: +30 22860 28115 - Fax: +30 22860 28116 - Mob: +30 6944-803339

License Number:1144E61000026101 :109293426

IN ORDER TO MAKE YOUR PAYMENT FOR THE BOOKING, WE OFFER YOU THE OPTION TO PAY BY CREDIT CARD.

TO GIVE US THE LEGITIMATE RIGHT TO TRANSFER YOUR PAYMENT TO OUR BANK ACCOUNT, WE KINDLY ASK YOU TO FILL IN THE FOLLOWING PERSONAL DETAILS AND RETURN IT TO US VIA FAX OR EMAIL

NAME:

 

COUNTRY:

 

ADDRESS:

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TELEPHONE:

 

 

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FAX:

 

 

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E-MAIL:

 

 

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MOBILE IF YOU WILL

HAVE ONE IN GREECE:

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POST CODE:

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TYPE OF CREDIT CARD:

VISA

WITH NUMBER .............................

MASTER CARD

WITH NUMBER: .............................

     

       CCV NUMBER( the three last digits on the back of your card)  .......

 

 

      EXPIRATION DATE:.....................

 

 

 

 

 

 

 

 

 

        
THE UNDERSIGNED DECLARES HEREWITH THAT NIKOS SIRIGOS  MANAGER OF PIXEL TOURS TRAVEL AGENCY, HAS MY PERMISSION TO TRANSFER_________________EURO_(amount in numbers)FROM MY CREDIT CARD FOR THE CHOSEN TOUR  BELOW:

Number of people: ______________    

         Date :

 

DATE SIGNED:

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PLACE SIGNED:

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CARD HOLDERS SIGN:

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