| 1. Merchant name: | O.K Tours LTD – Car rental Company |
| 2. Merchant address: | 8 “Skobelev” Str., Bourgas 8000, Bulgaria |
| 3. Merchant phone number: | +359 888 38 49 79 |
| 4. Merchant fax number: | +359 554 2 77 32 |
| 5. Merchant e-mail: | office@rentacarbg.net |
| 6. Cardholder name*: | |
| 7. Cardholder address*: | |
| 8. Cardholder card number*: | |
| 9. Card’s expiry date*: | |
| 10. Passenger or guest name if different than cardholder name*: | |
| 11. CVV2 (CVC2) the last 3 digits of the code written in italics on the back of the card*: | |
| 12. Full description of goods or services included: car rental service*: | From: Till: |
| 13. Transaction Sum*: | __________________________________________ |
| 14.
Transaction currency is BGN (1 EUR=1,95583 BGN) |
|
| 14. Cardholder signature*: | __________________________________________ |
This authorization form is a bank document, and as such it requires correct data and your signature. By signing this document you authorize us to block the amount of money needed for guarantee, or if you wish, the whole rental payment. The protection of your personal data is guaranteed by OK TOURS Rent A Car Bulgaria and your bank.
Please note that we can process credit cards of the following type: VISA, MASTERCARD, DINERS CLUB.
P.S Please remember to send it back to our office by fax or e-mail OK Tours Rent A Car