Please confirm receipt of this fax to me ASAP at this E-mail address:
DEBIT AUTHORIZATION FORM
FOR AMERICAN EXPRESS & DINERS CLUB ONLY
(We DO NOT accept either VISA or Mastercard by this method.
However, we DO accept VISA and Mastercard for secure online
payments and also in our office.)
I, ___________________________________, authorize Egypt Panorama Tours,
6 Road 81 (between Roads 6 & 7), El Maadi, Cairo, Egypt, to debit my credit card for
Egyptian pounds (EGP) _____________________________ for tourism services
rendered. I understand that the equivalent foreign currency amount will be
calculated by the bank and not by Egypt Panorama Tours. I also understand and
agree that the vendor name attached to this charge will be "Egypt Panorama Tours."
The details of my card are as follows:
Type of card:
Name on card: _____________________________________________________
Card number: ______________________________________________________
Expiration date: _____/_____ 4-digit code number: ____________
My address of record (mailing address) for this card is:
IMPORTANT: I am also including as pages 2 and 3 of this
fax a photocopy of
BOTH sides of my credit card as well as a photocopy of the identification page(s) of
my passport including my signature (so that my signature below can be verified).
Signature: ____________________________________ Date: _____/_____/_____
Instructions: Please print the form above, fill it out
in block letters, and fax it back to
Egypt Panorama Tours at any of the fax numbers above. Please also fax a photocopy of
BOTH sides of your credit card AND the identification page of your passport showing
your signature. We are unable to process a debit to your card without this.
ALSO NOTE THAT CREDIT CARD DEBIT AUTHORIZATION FORMS MUST BE
FILLED OUT IN EGYPTIAN POUNDS (EGP). BECAUSE WE ARE PAID IN EGP
(AS OPPOSED TO FOREIGN CURRENCY), FORMS FILLED OUT IN ANY
CURRENCY OTHER THAN EGP CANNOT BE PROCESSED IN EGYPT.
Thank you for allowing us this opportunity to serve you.
EGYPT PANORAMA TOURS, 11728 Box 222 Maadi
6 Road 81 (between Roads 6 & 7), CAIRO, EGYPT
Tels. +20-2-2359-0200, 2359-1301
E-mail: email@example.com Website: WWW.EPTOURS.COM
Our office is OPEN 5 DAYS A WEEK (Closed Fridays & Saturdays) 9 AM - 5 PM
except January 1 and official Egyptian holidays.