Bobo Africa Tours and Safaris Credit Card Payment Form

Bobo Africa Tours and Safaris
Portal Place House 4th Flr Suit 403
P.O. Box 11644 - 00100 Nairobi, Kenya
Cell:+254 734 503 953
FAX: +254 20 2248453
Tel:+254 020 2248453

Email: info@boboafricatours.com

	Clients Name:	Date:
	Services Required	Amount Payable: USD$
		Travel Dates	Return Dates

	Your Travel Consultant Name:
Please supply and confirm the following details for your credit card payment. Print out and fax the form back to us. Please ensure that you sign the form below before faxing or sending as an email attachment.

	Cardholders Name:
	Credit Card Number:
	Expiry Date: (Month/Year)
	3 Digit Validation Code on Back of Card (3 Digits on Visa/Mastercard, 4 Digits on Amex Card)
	Address (Credit Card Billing Address):
	Country:
	Post Code/Zip Code:
	Telephone:
	Fax:
	Email Address:
I (NAME) hereby authorize you to debit my credit card for the services detailed above for amount mentioned ONLY)
Signature: Note: Attach copies of both sides of your credit card and a copy of your valid Passport. The card will not be processed without the said documents.