For your protection, each time you authorize us to charge an amount to your credit card, we require you to complete and sign this form indicating your approval to debit your credit card with the amount authorized.
All fields marked with asterisk* are mandatory
Your name should read as stated in your passport
Please sign in the box below. With your mouse, simply click and hold down the button and draw a replica of your signature. On a touch screen, use your finger to draw your signature.