Ansa International
email: info@ansacorfu.com - ansacfu@otenet.gr
Corfu Town
20, El. Venizelou Str. - 49100 Corfu - Greece
Tel.: +30.26610.40390, 21930 - Fax: +30.26610.40338
Gouvia, Corfu, Greece
Tel.: +30.26610.91584, 91836 - Fax: +30.26610.90362
Acharavi, Corfu, Greece
Tel.: +30.26630.63164 - Fax: +30.26630.63181

 

 

Secure Credit Card Processing Form
(Please fill in all fields in order to be able to serve your request better)

Credit Card Processing Form

Booking Ref.:
Clients Name:
Email:
Credit Card Type:
Credit Card No:
Valid From (AMEX Only):
Expiry Date:
Security Code:*
Card Holders Name:
Billing Address:
Contact Tel. No:
Amount to be Debited in EUR:

 

* The Security Code is the last 3 digits in the signature strip, on the reverse of your card.