| Pixel Tours Travel
Agency |
| Car booking
form |
| AUTHORIZATION FORM
|
| IN ORDER TO MAKE YOUR
PAYMENT FOR THE PROVIDED SERVICES FROM OUR HOTEL EASIER, WE OFFER YOU THE
POSSIBILITY TO PAY BY CREDIT CARD. TO GIVE USTHE LEGITIMATE RIGHT TO
TRANSFER YOUR PAYMENT TO OUR BANK ACCOUNT, WE KINDLY ASK YOU TO
PRINT THIS AUTHORIZATION FORM, FILL IN THE FOLLOWING
PERSONAL DETAILS. |
| NAME: |
|
TYPE OF CREDIT CARD: |
 VISA MASTER CARD |
| COUNTRY: |
|
WITH NUMBER: |
|
| E-MAIL: |
|
CCV NUMBER( the three last digits on the back
of your card) |
|
| POST CODE: |
|
EXPIRATION DATE: |
|
| TELEPHONE: |
|
ARRIVAL
DATE:
|
|
| FAX: |
|
DEPARTURE
DATE:
|
|
| ADDRESS: |
|
TYPE OF
CAR:
|
|
| ARRIVAL TIME: |
|
| MOBILE: |
|
AGREED PRICE PER CAR, PER DAY (24
HOURS): |
|
| NUMBER OF
GUESTS:
|
|
MEETING POINT:
MEETING HOUR: |
|
| NAMES OF GUESTS: |
|
| |
| |
|
FULL INSURANCE 9 EURO PER DAY |
YES
NO |
| |
| THE UNDERSIGNED DECLARES
HEREWITH THAT I AUTHORISE PIXEL TOURS TO CHARGE MY CREDIT CARD BASED ON
YOUR BOOKING POLICY, YOUR CANCELLATION POLICY AND THE AGREED
COSTS. |
| BOOKING POLICY: We require
10% deposit of the total amount and to fully pay the reservation after
your arrival. |
| CANCELLATION
POLICY:
15 to 20 days prior to the confirmed arrival
date, 50% of the amount is charged
7 to 14 days prior to the confirmed arrival
date, 75% of the amount is charged
1 to 6 days prior to the confirmed arrival
date, 100% of the amount is charged
No show, or departure prior to the scheduled
date, 100% of the amount is charged |
| DATE SIGNED: |
| PLACE SIGNED: |
| CARD HOLDERS
SIGN: |