Santorini Greek weddings

AUTHORIZATION FOR WEDDING OR RECEPTION VENUES Nikolas Sirigos www.Santoriniweddings.net Travel & Wedding Agency Fira- Santorini - Greece - Zip Code 84700 Tel: +30 22860 28115 - Fax: +30 22860 28116 - Mob: +30 6944803339 License No:1144E61000026101 Vat No:109293426

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 SANTORINI WEDDINGS 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. OR E MAIL
REQUESTED WEDDING DATE:	REQUESTED RECEPTION VENUE	( Name of Restaurant )
NAME OF THE BRIDE:	NAME OF THE GROOM:	PAY PAL
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:	MOBILE:
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 WEDDINGS, REPRESENTED BY NIKOLAS SIRIGOS-, MANAGING DIRECTOR OF SANTORINI WEDDINGS CO HAS MY PERMISSION TO TRANSFER -------------- EURO FROM MY CREDIT CARD. THESE FEES ARE REFUNDABLE ONLY 2 MONTHS BEFORE YOUR WEDDING DATE .
DATE SIGNED:
PLACE SIGNED:
CARD HOLDERS SIGN: