Credit Card Authorization Form

Name on Credit Card:

Address:

Telephone:

Fax:

Email:

I ,

Authorize Luz Tropical S.A., to charge:

US Dollars:

From My:

From My Credit Card Number:

Expiration Date:

I accept all the terms and conditions in the Reservations Policy.

Details / Comments:

Signature:

Call Toll FREE 1-866-620-4188