Nikolas Sirigos

Santorini photographers & Santorini weddings co.

Pixel tour Travel & Wedding Agency

Fira- Santorini - Greece - Zip Code 84700

Tel: +30 22860 28115 - Fax: +30 22860 28116 - Mob: +30 6944803339

License No:1144E61000026101 Vat No:109293426

AUTHORISATION BOOKING  FORM

IN ORDER TO MAKE YOUR PAYMENT FOR THE PROVIDED SERVICES FROM OUR COMPANY EASIER, WE OFFER YOU THE POSSIBILITY TO PAY BY CREDIT CARD. TO GIVE NIKOLAS SIRIGOS THE LEGITIMATE RIGHT TO TRANSFER YOUR PAYMENT TO OUR BANK ACCOUNT, WE KINDLY ASK YOU TO PRINT THIS AUTHORIZATION FORM, FILL IN THE FOLLOWING PERSONAL DETAILS, SIGN IT AND RETURN IT VIA FAX TO +30 22860 28116.

REQUESTED PHOTO SESSION DATE:

NAME OF THE BRIDE: 

NAME OF THE GROOM:                          

CARD HOLDERS NAME:

TYPE OF CREDIT CARD:

VISA         MASTER CARD

WITH NUMBER:

ADDRESS:

CCV NUMBER( the three last digits on the back of your card) 

POST CODE:

EXPIRATION DATE:

TELEPHONE:

FAX:

E-MAIL:

MOBILE:

NATIONALITY  (BRIDE):

NATIONALITY (GROOM):

PASSPORT NUMBER         (BRIDE): 

IF NOT AVAILABLE FOR THE MOMENT LEAVE IT BLANC

PASSPORT NUMBER (GROOM):

IF NOT AVAILABLE FOR THE MOMENT LEAVE IT BLANC

WHICH COUNTRY HAS ISSUED YOUR PASSPORT?

WHICH COUNTRY HAS ISSUED YOUR PASSPORT?

THE UNDERSIGNED DECLARES HEREWITH THAT SANTORINI PHOTOGRAPHERS, REPRESENTED BY NIKOLAS  SIRIGOS-, MANAGING DIRECTOR OF PIXEL TOURS & SANTORINI WEDDINGS, HAS MY PERMISSION TO TRANSFER ----- ---- EURO FROM MY CREDIT CARD. THESE FEES ARE NOT REFUNDABLE IF YOU CANCEL LESS THAN TREE DAYS. FEES TO BOOK YOUR WEDDING PHOTO SESSION DATE. 

DATE SIGNED:

PLACE SIGNED:

CARD HOLDERS SIGN: