CALYPSO ISLAND TOURS
1212H El Camino Real Suite 223, San Bruno, CA 94066
Telephone: (866)-682-2121 (Toll Free) , Email: onlineagent@CalypsoIslandTours.com
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CREDIT CARD PAYMENT BY FAX
(Accepted credit cards, Visa and Master Card)


In lieu of my credit card imprint, I, _______________________________________________________

Name of cardholder (as shown on credit card)

 

Hereby authorize ____________________________    ________________________    ____________

Credit card name Credit card number Expiration date

 

Security code (three letter code on back of card) ___________

 

 

in the amount of _________________for payment/deposit for booking #_________

 


for _________________________________________________________________________________
(Name of tour and departure date)


for myself and /or  ____________________________________________________________________

Full name(s) of passengers if other than cardholder



My Billing address is: _________________________________________________________________

 

Home Phone______________________Work Phone_____________________





By signing below, I hereby acknowledge charges described herein.

 

 

X____________________________________ Date_______________

    Signature of cardholder

 


Please fax form to Calypso Island Tours at 1-650-624-9891