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. CONTACT US: Harvey World Travel Garden City Phone: 07 3343 5422 Address: PO Box 6304, Upper Mt Gravatt, Q 4122 Fax: (07) 3849 5770 Email: mates.gardencity@harveyworld.com.au