Mail Order / Recurring Form
Print out and fax, * indicates required information.
Please use bold characters and fax to 90.242. 844. 24 56
In case of emergency, please reach us at 90.532.261.2296.
 Please note: a 2% bank transaction commission will be added to the order.

*Card Number:


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*Specify type of card (Visa or Mastercard):

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*Expiry date:

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*CVC2 or CVV2 Value :
  (The last three digits on the back of the card)

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Transaction date:

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Description of accommodation or service:

 


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Total charge:

...................................... GBP / USD / EUR / TRL

Deposit:

...................................... GBP / USD / EUR / TRL
Balance:

...................................... GBP / USD / EUR / TRL
Transaction amount:

...................................... GBP / USD / EUR / TRL

 

*Cardholder's full name:

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ID or driver licence:

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Passport number:

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*Telephone:

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*Address:

........................................................................

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*Cardholder's signature:

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*Date:

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*I authorize Mavi Real Estate to charge my credit card number for the amount of:  __________________________________  GBP / USD / EUR / TRL.

E-mail:

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Mobile phone number (for emergency use):

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Thank you very much!  Your fax will be confirmed by email upon receipt.