Thankyou
for booking with Artemisia Holidays.
We will get back to you as soon as we can.
If you are paying by credit or debit card, please print this page
and fill in the following details and email (sales@artemisia-holidays.com)
or fax (+44 (0)141-424-0958) your form to us. We will then process
your payment and send you a confirmation.
The address for sending cheques is Artemisia,
PO Box 7504, Glasgow, G42 8ZY
I
authorise Artemisia Holidays Ltd to debit my credit or debit
card account for
deposit/balance/full payment (delete
where not applicable) in respect of my booking commencing
on ______________________________ (start date)
|
| Card
Details |
| Card
Type |
|
| Card
Number |
|
| Expiry
Date |
|
3 digit
Security code
(where applicable) |
|
Auth
code
(where applicable) |
|
| Cardholder's
Billing Address |
Name
|
|
| Company
|
|
| Street
|
|
| City
|
|
| State/Province
|
|
| Country
|
|
| Post
Code |
|
Transaction
Information |
|
Transaction
value:
(currency and amount)
|
|
|
I
understand this will incur a 2% surcharge if paid by credit
card.
________________________
__________________________
Signature
Date
|
