Anguilla Daytrip Fantasies- Credit Card Authorization Form

Thank you for choosing Anguilla Day Trip Fantasies.

To confirm and secure your reservation, please complete and sign the Credit Card Authorization Form below. Your signature serves as acknowledgment and authorization of the booking and associated payment terms.

Kindly ensure that all information provided is accurate and complete. Once the form has been submitted, your payment will be processed accordingly.

Should you have any questions or require further clarification, please contact us via email at axadaytripfantasies36@gmail.com or by telephone at 1 (264) 584-8873 or 1 (264) 581-5287

We appreciate your business and look forward to providing you with an unforgettable experience.

Today's Date:

Date

Your Name

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Your Email

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Your Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Country of Residence

Tour Booked

Tour Date

Date

Number of Guests

Total Amount Authorized (USD$)

Full Billing Address ( City, State/Province, Postal Code, Country)

“I authorize Anguilla Day Trip Fantasies to charge my credit card in person or over the phone for the total amount listed above. I confirm I am the authorized cardholder.”

Cardholder Signature (Authorization Required)

Anguilla Daytrip Fantasies- Credit Card Authorization Form

Customer Information

Tour Information

Billing Information

Authorization Statement

Credit Card Holder Signature