kredi kartı ile sipariş formu örneği

ORDER FORM
Name / Surname
: .................................................................
Address
: .............................................................................................
.............................................................................................
Postal Code : ..................................... City: .........................
Country
Phone
: .......................................
: .......................................
For the payment of my order please charge my credit card acoount given below
(USD / EURO) ……………….
Credit Card charges will be made in Turkish Lira at current ecchange rates.
Card Number :
VISA
MASTERCARD
Expiration Date:
I agree the above mentioned amount to be charged to my VISA / MASTERCARD credit card acoounr
and credited to your account with Türkiye Iş Bank A.Ş. Antalya Anafartalar Caddesi Branch witin the
rules of the contract signed between your company Türkiye Iş Bank A.Ş.
Date: ..........................
Rent a Car & Motorbike & Adventure Sports
Güven SAYIM
Tel & Fax : 0242 311 80 07
Aspendos Bul. No:208 Antalya / Türkiye
[email protected] – www.trust.com.tr
Kalekapı V.D. No : 440 206 83 232
Signature: ..........................