CTC Turkey Credit Card Payment Form

Please complete this form and to confirm your reservation, authorize the deposit payment (25% of the price) and fax to +90 212 2321723. If you make your reservation after the final payment date (65 days prior to departure), payment in full is required upon reservation. Steps to use the form: Complete the information required, print out, sign and fax to numbers given. If you would like to make your payment by wire transfer, please contact us for bank details.

Personal information:

Name : Street Address :
City, State, Zip : Country :
Home Phone : Cell Phone :
E-mail : Number of Travelers :
Names of Travelers :

Services:

Beginning Date :
Ending Date :
Services Ordered :

Credit Card Information:

Type of Credit Card : Card Number :
Expiry Date :
/
CVV2 Code :
Currency : Name on Credit Card :
Payment Amount : Amount in Writing :

I have read and agree to the terms & conditions of the services booked as above and
I confirm the above mentioned amount to be charged to my credit card account by CTC Turkey or Danytur.
22.09.2017