We accept Visa, MasterCard, and American Express.
I_______________________________________________________________________
(Name of card holder as shown on credit card)
Hereby authorize: Experience Belize Tours Ltd. to charge my
__________________________ __________________________ ______________
(Credit card name) (Credit card number) (Expiration date)
For DEPOSIT in the amount of $ _______________________ to be processed today, and
For BALANCE DUE in the amount of $ _____________________ to be processed on arrival in Belize
at the start of the tour.
For myself and/or ______________________________________________________
(Full name(s) of travelers(s) if other than card holder)
For reservation code: ________________ tour date _____________________
My billing address (required): _______________________________________________
¬¬¬¬¬¬¬¬¬¬_________________________________________________________________
_____
City __________________ State_____________________ Zip ____________________
Country _______________________ Phone (Home) _____________________________
(Office) _____________________________
Please Note, if you cancel your trip for any reason you will be charge consistent with our
cancellation policy, plus any charges assessed by our land suppliers, in addition to any revision
fees.
X_____________________________________ ____________________
(Signature of card holder) (Date)
¬¬¬¬¬¬¬¬¬ Please sign and fax all pages.
Please note that if for whatever reason you cannot make the tour, we have a good Cancellation Policy that allows
you to get a full refund if you cancel at least 10 days before the tour. In addition, you will receive a full refund
less 10% percent if your cruise ship does not stop in Belize for any reason, or if weather conditions or other
factors force you or us to cancel your reservation.
I have read and agree to all Terms and Conditions, Reservation & Cancellations Policies above
Signature ______________________________________________________
Thank you for choosing Experience Belize Tours Ltd.
#9 Cemetery Area Lords Bank,
Belize City, Belize CA
www.experiencebelizetours.com
Experience Belize Tours Ltd www.experiencebelizetours.com CREDIT CARD AUTHORIZATION FORM Please fax clear copies of Credit card (Both front and back) and your Driver License to: 001 205 956 6427 US Office Fax Number
Important: We will only credit the account upon receipt of complete and proper documentation. Third party credit cards will not be accepted under any circumstances.
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