CHUBASCO
CHARTERS
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P.
O. Box N-4344
Nassau, Bahamas
Tel. 242-324-3474 - Fax 242-364-1612
e-mail - chubasco@coralwave.com
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Credit
Card Authorization Form
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Name
(as appears on Credit Card): ____________________________________________________
Billing address of Credit Card: _________________________________________________________
______________________________________________________Tel:_____________________________
E-Mail address: _______________________________________________________________________
Credit Card Type: (circle) MasterCard - Visa - Discover - American
Express
Credit Card Number: ____________________________________________________Exp.
_________
Total amount of payment authorized: __________________________________________________
Authorized for: (service and date) _____________________________________________________
I the undersigned Customer acknowledge that I have read and understand Chubasco Charters cancellation policy and authorize them to bill my credit card for the above amount in the event I do not cancel in the required time frame.
Date:__________________ Signature: ________________________________________
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To
confirm your charter, please print and fill out this form
and fax it to us. Fax: (242) 364-1612. Please book charter via
telephone, e-mail or fax before sending us this form. Please contact us if you do not receive confirmation within 24 hours of faxing us this form.
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