AUTHORIZATION OF CHARGES ON CREDIT CARDS
The most clear photocopy of plastic credit card on both sides (Signature must be legible).
Write under the copy:
Credit Cardholder's Name:
Credit card type: Visa
American Express Master Card
Credit card number: Exp:
If credit card is American Express, please write the four "non engraved" digits code:
I hereby authorize Live Aqua Cancun to apply a charge to this credit card for a
maximum of US$:
Amount in letters
as deposit of the following group:
Arrival Date: Departure Date:
Signature (Should be identical to that on plastic credit card).
Please fax this format back to: 52 (998) 8817601 Attention: Flor Blanco | Please include:
1. Copy of driver license or picture ID of credit card holder.
1. Front and back copy of credit card that is being utilized.
Note: Our rates are worldwide quoted in US Dollars, therefore, subject to money exchange fluctuations,
unless paid in US cash or travelers' checks.
Thank you for your immediate attention.