Credit Card Form

CREDIT CARD AUTHORITY Card type:

 Mastercard 

Visa Card

 American Express

Name on card:…………………………………………………………………………………………………………………

Card Number:………………………………………………………………………………………………………………….

Expiry Date:…………………………………………………………………………………………………………………….

Amount:…………………………………………………………………………………………………………………………..

I hereby certify Harvey World Travel to debit my card for the amount for travel as stated above.

Signature:………………………………………………………………………………………………………………………..

Date:…………………………………………………………………………………………………………………………………

Purchase Details:……………………………………………………………………………………………………………..

Credit Card Fees:

Mastercard, Visa & Amex + 2%

Please add the above fees to your TOTAL Credit Card purchase.

By signing this form I acknowledge that I am providing Harvey World Travel with my credit card details for the primary purpose of completing my travel booking.

I acknowledge that this may involve disclosure of my credit card details by Harvey World Travel to its wholesalers, including the particular airline I have booked with, whether that be a domestic or an international airline whether in Australia or overseas, and I hereby provide my consent to such disclosure in accordance with the Privacy Act 1988.

Fax Back:

(07)

3849 5770

or email

mates.gardencity@harveyworld.com.au