|
Nikolas Sirigos Santorini photographers Fira- Santorini -
Tel: +30 22860 28115 - Fax: +30 22860 28116 - Mob: +30 6944803339 License
No:1144E61000026101
Vat No:109293426 | ||||
|
AUTHORIZATION BOOKING FORM | ||||
|
IN ORDER TO MAKE YOUR
PAYMENT FOR THE PROVIDED SERVICES FROM OUR COMPANY EASIER, WE OFFER YOU
THE POSSIBILITY TO PAY BY CREDIT CARD. TO GIVE NIKOLAS SIRIGOS THE LEGITIMATE
RIGHT TO TRANSFER YOUR PAYMENT TO OUR BANK ACCOUNT, WE KINDLY ASK YOU TO
PRINT THIS AUTHORIZATION FORM, FILL IN THE FOLLOWING
PERSONAL DETAILS, SIGN IT AND RETURN IT VIA FAX TO +30 22860 28116. | ||||
|
REQUESTED PHOTO
SESSION DATE: |
|
| ||
|
CLIENT'S NAME |
|
Name of the groom
|
| |
|
CARD HOLDERS
NAME: |
|
TYPE OF CREDIT
CARD: |
VISA
MASTER CARD | |
|
|
WITH
NUMBER: |
| ||
|
ADDRESS: |
|
CCV NUMBER( the
three last digits on the back of your card) |
| |
|
POST
CODE: |
|
EXPIRATION
DATE: |
| |
|
TELEPHONE: |
|
FAX: |
| |
|
E-MAIL: |
|
|
| |
|
NATIONALITY (BRIDE): |
|
NATIONALITY
(GROOM): |
| |
|
PASSPORT
NUMBER
(BRIDE):
IF NOT AVAILABLE
FOR THE MOMENT LEAVE IT BLANC |
|
PASSPORT NUMBER
(GROOM): IF NOT AVAILABLE
FOR THE MOMENT LEAVE IT BLANC |
| |
|
WHICH COUNTRY HAS
ISSUED YOUR PASSPORT? |
|
WHICH COUNTRY HAS
ISSUED YOUR PASSPORT? |
| |
|
THE UNDERSIGNED
DECLARES HEREWITH THAT SANTORINI
PHOTOGRAPHERS, REPRESENTED BY NIKOLAS SIRIGOS-,, HAS MY
PERMISSION TO TRANSFER ----- ---- EURO FROM MY CREDIT CARD. THESE FEES ARE
NOT REFUNDABLE IF YOU CANCEL LESS THAN THREE DAYS. FEES TO BOOK
YOUR WEDDING PHOTO SESSION DATE. | ||||
|
DATE
SIGNED: | ||||
|
CARD HOLDERS
SIGN: | ||||