Truly Africa Tours

Specialists in small group travel

405 Grove Building
Grove Avenue
Claremeont
Cape Town
7708
Tel/Fax +27 (0) 21 674 6913
E mail info@trulyafricatours.com
www.trulyafricatours.com


 

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.