Credit Card Authorization Form
          (Please Print and send via Fax to one of the numbers below indicated)
           Our Faxes are on, only during Office Hours: 9am-7pm - CET - (Monday to Friday)

        Company Name: ______________________________ 

           I authorize CARNIA EXPRESS
          Main Office: Piazzale V. Veneto, 3 – TOLMEZZO (Italy)    -        Fax: (+39) 0433.40513  or
          Branch Office: Via S. Caterina, 69 - PASIAN DI PRATO (Italy) - Fax: (+39) 0432.644.103

          (Please add 3.1% as Credit Card commission charge on top of the total amount due for the services you required)

            to charge my/our credit card for the amount of:  _______.___ Euro (________________________/___)

for the following services: ____________________________________________________ 
          
          Carnia Express/European Coach Tours - Booking Ref. code: __________________(Please insert code given with our offer.)

          Please circle one:       American Express            Visa               Mastercard               Diners

             Name on Card: _______________________________       CVC*: ______

Card Number: ________________________________    Expiration Date: ________

Signature of Card Holder: ______________________________________

Print Name (capital letters): ____________________________________

Billing Address: ______________________________________________

____________________________________________________________

____________________________________________________________

Phone: ______________________________

Fax: ________________________________

E-mail: ___________________________________________________

          CVC* - Code of 3 or 4 numbers (you find it on the back of VISA-MC or at the front of AMEX)