Universal Credit Card Authorization Form

This form will NOT send your credit card information over the Internet. It will simply allow you to print a filled in authorization form. Please don't forget to sign it and then fax it to us. Credit Card companies in Costa Rica operate under different regulations and require that we have your signature on file.

This form is for the exclusive use of EnjoyCentralAmerica S.A. and covers the services outlined below:

DATE

DESCRIPTION

AMOUNT

Subtotal:

4% processing fee:

TOTAL:

Cancellation and no-show policy: Cancellation and no-show policy: No refund will be issued for no-shows and cancellations made less than seven days prior to reservation date. A 50% refund based on services purchased will be issued for cancellations made seven to 15 days prior to reservation date. A full refund based on services purchased minus an administration fee of 10% (minimum $50 per person) of the itinerary will be issued for cancellations made more than 15 days prior to reservation date. For confirmed reservations during Easter week or Christmas/New Year and for all airline tickets, there will be no refunds. All itinerary and reservation changes will have to be made directly with EnjoyCentralAmerica. Modifications or cancellations made through hotels or other service providers will result in no-shows and no refunds will be issued. EnjoyCentralAmerica recommends the purchase of travel insurance to all our customers.

Credit Cards will be charged upon reception.

I hereby authorize EnjoyCentralAmerica S.A. to charge my credit card
for confirmed reservations as outlined above.

Credit Card Visa Mastercard
Card Holder's Name:
Credit Card Number:
Expiration Date:
Agents Name :
Telephone:   Fax:
Passport Number:
Date of Birth:
E-Mail IMPORTANT!
Billing Address:
Card Holder's Signature:


Don't forget your signature!
EnjoyPanama is a service of EnjoyCentralAmerica S.A. - Costa Rica
Please send this form completed and signed to our fax in the U.S. at 816 817 1619.