CREDIT CARD AUTHORIZATION


I, hereby authorize HotelsMaldives
to debit my Credit Card for the Confirmed Holiday Package & Services.
 
Fax-in Payment Transaction Date :
 
Personal Particulars
Name (Mr/Mrs/Ms) :.....................................................................................................
Telephone (Home/ Work/ Mobile)
Include Country & Area Code
:.....................................................................................................
Email :.....................................................................................................

Payment Particulars
Credit Card Type Visa Master Amex Diners Club
Credit Card Number
Secure Number
(The last 3 to 4 digit number
appearing on the signature panel)
:.....................................................................................................
Card Holder's name :.....................................................................................................
Expiry Date (MM/YYYY) :.....................................................................................................
Card Holder's Passport No :.....................................................................................................
Billing Address of Card Holder :.....................................................................................................
Card Issuing Bank & Tel No :.....................................................................................................
Total Amount in United State Dollars / Euro :USD / EURO............................( in figures )
Above amount in Words :.....................................................................................................
Card Holder's Signature
(same as on the Credit Card)
:.....................................................................................................
Remarks :.....................................................................................................
  :.....................................................................................................
Card Holder's Signature :.....................................................................................................
 
Booking Particulars
BOOKING ID :.....................................................................................................(exp. HM1001, HM1200)
Resort/Hotel name :.....................................................................................................
Room Type
Check-In Date
(day/month/year)
Check-Out Date
(day/month/year)
 
 
   

 
 All Traveller's / Guest Names :

I understand Vermillion International will appear on my credit card statement for this transaction and should I have any problem with this order, I can contact HotelsMaldives for a prompt resolution by emailing
info@hotelsmaldives.com or calling +960 3344558. I have read and agree the Terms & Conditions at http://www.hotelsmaldives.com/client/conditions.htm and hereby authorize to charge my credit card.

Please Print this form, fill out and send it by scanned e-mail to info@hotelsmaldives.com or by fax to our Fax number: +960 3344559 along with Passport copy (pic/info page). We will acknowledge receipt of this form in 24 hours, and if not please contact us.
* For security reasons we shall verify card details and signature on arrival.

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