Credit Card Authorization



SECURE APARTMENT RESERVATION FORM

My Credit Card Data

Type
Number
Verification*
Expiry date	/

* For your safety and security, we require that you enter your card's verification number. The verification number is a 3-digit number printed on the back of your card. It appears after and to the right of your card number.

Billing Address

First Name
Surname
Address
City	Post Code
Country

Telephone
E-Mail

Comments (fill in apartment's NAME and your arrival/departure DATES)


Deposit Amount	Euros

I authorize sevilla5.com to bill my credit card with above standing amount in concept of a reservation deposit.

We use a secure server with SSL encryption, which ensures a confidential data exchange OVER THE INTERNET. However, if you still prefer to send this information BY FAX instead, you can also print this page out, and fax to below standing no. Select one of the two options for data transmission:

1. Secure Server:

2. By Fax:

Fax: ( 34) 954 387 550 Email: apartment@sevilla5.com sevilla5.com C/ Feria, 80 41002 Sevilla

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