Credit Card Authorization

Fields indicated with asterisk (*) are required.
Name Name Title First Middle Last Suffix
Full Address (where your credit card statements are mailed) Full Address (where your credit card statements are mailed)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone
Email

In order to receive a copy of this form please input your email address.
Tour Name
Tour Date (MM/DD/YYYY) Tour Date (MM/DD/YYYY) / MM / DD YYYY
Amount $ Dollars . Cents
Currency

Currency US Dollars Canadian Dollars
Type of Credit Card

Type of Credit Card Visa Master Card Amex
Only last 4 digits of your Credit Card Number
Must be 4 characters. Currently Entered: 0 characters.
Expiry Date (MM/YYYY)
/ MM / DD YYYY
3 or 4 digit Security code (CVV or CID on your credit card)
Name as it appears on Credit Card Name as it appears on Credit Card First Middle Last
I hereby authorize Bestway Tours & Safaris to apply the above amount to my credit card towards the charges for services requested. I confirm that I have agreed to the Terms and Conditions, including cancellation terms.
Agreement

Agreement I hereby authorize Bestway Tours & Safaris to apply the above amount to my credit card towards the charges for services requested. I confirm that I have read and agreed with the Bestway Tours & Safaris Terms and Conditions, including cancellation terms.
Draw your signature into the box below.

Draw or Type

I understand this is a legal representation of my signature. Clear

Full Name

I understand this is a legal representation of my signature.
Please call us at 1-800-663-0844 with the balance of the credit card details.

This is a special security measure we have taken to protect you.
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Type the letters you see in the image below.

Credit Card Authorization

Fields indicated with asterisk (*) are required.

I hereby authorize Bestway Tours & Safaris to apply the above amount to my credit card towards the charges for services requested. I confirm that I have agreed to the Terms and Conditions, including cancellation terms.

Please call us at 1-800-663-0844 with the balance of the credit card details. This is a special security measure we have taken to protect you.

Submit button will appear after previewing the entries

Please call us at 1-800-663-0844 with the balance of the credit card details.

This is a special security measure we have taken to protect you.