AUTHORISATION ORDER FORM
I
hereby authorise Truly Africa Tours
to debit my credit card account for the amount
of R
..
The following are my credit card account and personal
details.
Credit card number :
Expiry date :
.
CVV number ( three digit number on back of card
) :
...
Address :
.
.
Telephone number :
.
Passport number :
..
Date :
Signature :
..
NB! PLEASE FAX US A COPY OF THE FRONT AND BACK OF
THE CARD AND A COPY YOUR PASSPORT, WHEN RETURNING THIS FORM TO
US AS WE NEED TO AUTHENTICATE THE DETAILS PROVIDED.