SeatHolidays - Payment Form

SEAT HOLIDAYS DUBAI LLC- CREDIT CARD PAYMENT FORM

Please print out this form, complete, sign and fax it to our Office at +9714-2955946 in order to pay for your reservation.

(note merchant name will appear as SEAT HOLIDAYS DUBAI LLC on your credit card statement)

This is to authorize you to debit the following amount from my credit card :

Ref Number (as indicated on our email header, if applicable):

Guest Name

Hotel :

Payment for:

Date of check-in :

Date of check-out :

Amount to be debited AED:

(You are requested to fax front copy of your credit card)

a. Credit Card Type :

( VISA /MASTERCARD )

b. Name Printed on Card :

c. Credit Card Number :

d. Expiry Date :

(Month/Year)

e. For your security never furnish back side copy of your credit card nor furnish CVV number

(last 3 digits appearing at the back of Visa Card or Master Card )

f. Additional identification such as passport might be requested for bulk amount.

________________________________________________________

Signature of Card Holder (important to sign as card signature)

Dated:

For above booking to be activated, guest is required to e-mail help@seatholidays.com, notifying that this form
had been successfully completed, signed and faxed to the above numbers.

SEAT HOLIDAYS DUBAI LLC
Dubai Shopping Center 1st Floor (F13) Diera P.O. Box 117168
Dubai United Arab Emirates
Tel +9714-2955945 Fax +9714-2955946