Printable Fax Form for Host Guest Service Ltd.103 Dawes Road, Fulham, London SW6 7DU Tel: +44 (0)20 7385 9922/3434 Our fax number: +44 (0)20 7386 7575 Fax Credit Card Information
|
|
| Your Name:
Telephone: Form Date: Card Name: Card Number: Exp. date: Card Owner: |
_____________________________________
______________________ ___________________ Visa __ Mastercard __ Other _________________ __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ __ - __ ___________________ |