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RIVIERA BEACH BUNGALOWS
Girne, North Cyprus (via Mersin 10 TURKEY),
Tel: 00 90 392 822 2026
/ Fax: 00 90 392
822 20 62
~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
ORDER
FORM
NAME /
SURNAME:
ADDRESS:
.
POST CODE:
.... CITY:
...
COUNTRY:
........
TEL.:
FAX:
Amount:
....... YTL
Credit card
charges are made in Yeni Turkish Lira (YTL) at current
exchange rates. (If you investigate your credit card
statement, there may be some small
differences due to the fluctuating exchange rates).
For the
payment of my order, charge my credit card account given
below:
Credit
Card Number:
_ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _
VISA MASTERCARD
Expiry
Date:
_ _ / _ _
I hereby
authorize you to debit the above mentioned amount from my
VISA / MASTERCARD and credit it to your Account No.
010-600189
With Limasol Tόrk
Kooperatif Bankasύ Ltd.,
Girne (Kyrenia) Branch.
The hotel
cancellation should be made at least two months before the
arrival date; otherwise, I accept the hotel fee and
administrative
costs to be charged into my credit card, and I appoint
Limasol Tόrk
Kooperatif Bankasύ Ltd.
to do it.
Date:
............................................ Signature:
.................................
The above
payment is for one studio
/
galleried bungalow / superior room to be
reserved from
../
../2006 to
../
../2006 for
persons on
B&B / HB basis.
The total
amount stated above is the equivalent amount of GBP
according to todays exchange rates. Exchange rates can be
seen from the following link:
http://www.kktcmb.trnc.net/kur2006/kur240206.htm
This copy letter can be faxed on condition
that it is signed by the Card Holder. As attached, please
fax the photocopy of your
credit card (both sides), as well. |