Credit card authorization form |
| Name of credit card holder |
_____________________________________ |
| Family Nameof credit card holder |
_____________________________________ |
| Card Type (Visa/MasterCard/Etc) |
_____________________________________
|
| Exp Date |
_____________________________________ |
| Card Number |
_____________________________________ |
| Authorised Signature |
_____________________________________ |
| Deposit For |
_____________________________________ |
|
|
| Special note:
Please fill out this form for any purchase or deposit you might want and fax it to
Camilleri Marine Fax No +356 21345414 |
| NO FORMS WILL BE EXCEPTED BY EMAIL |
Click here to print form
Click Here to download the Word format to print 
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|
