Catz Credit Card Facility

P O BOX 48507 Roosevelt Park Johannesburg South Africa 2129
Tel & Fax : 27 11 782 5416                                                         This e-mail address is being protected from spam bots, you need JavaScript enabled to view it
This form is to be printed, signed and then faxed to the fax number in South Africa.
Please click the printer icon before printing

Credit Card Authorization
Customers Full Name: ______________________________________________________
Customers Address:    ______________________________________________________
        ______________________________________________________
                       ______________________________________________________
                       ______________________________________________________
Date of Birth:                __ __ / __ __ / __ __ __ __
Passport No:                ___________________________________
SA Resident I.D. No. :  ___________________________________
Card Type:(Visa / MasterCard) _____________________________
Bank Name                     ____________________________________
Card No:                           ____________________________________
Expiry Date:                      ___ ___ (mmyy)
CVC No.  __ __ __            (Last 3 digit on back of card if applicable.)
Amount as per invoice no:     Inv.____________ ZAR ________
Date of Transaction:     __ / __ __ / __ __ __ __
I ___________________________ the undersigned give approval to Catz Tours & Safari’s to debit my credit card (details above) with the amount of R ________________ to secure payment for my tour.
_______________ Signature                                          Date:_____________
Please fax this authorization to South Africa
+27- 11- 782-5416