City of Athens Travel Agency  
WORLD WIDE SERVICE - THE GREEK VACATION SPECIALIST
2071 Centre Street West Roxbury, MA 02131  Tel: (617) 325-8687  Fax: (617) 325-0530


 

CREDIT CARD AUTHORIZATION CONTRACT

 

           
 I authorize City of Athens Travel to charge my (check one):
 
          
  _____ Master Card              _____Visa                 _____American Express
 
             The card number is:_____________________________ Expiration Date______  
 
            Name as it appears on the card:_______________________________________  
 
           Total amount to be charged to my card is: $_____________
 
 
            The Services to be Provided:     
            Passenger Name___________________________ Date of Travel____________  
 
           Description:_______________________________________________________

 

 

I understand that my signature on this contract will serve as my authorized signature on the credit card slip.

 
 
__
______________________                        ______________________________
Signature of Cardholder                               Print Name as Appears on theCard
 
 
________________________                        ______________________________
Address                                                          Phone
 
 ________________________                        ______________________________
           City, State, Zip                                                Date