Credit Card Authorization Form

 

Billing Information

Full Name:

(As It Appears On Card)

Company:

Billing Address:

City:

State:

Zip Code:

Country:

Email:

Home Number:

Work Number:

Cell Number:

Fax Number:

Passport Number 
(Only if Outside of the U.S.)

Issuing Country:

I AUTHORIZE WORLD CUP SPECIALIST  TO CHARGE MY CREDIT CARD

Credit Card Type:

Visa       MC       American Express  JCB 

Credit Card #:

Exp. Date:

mm/yyyy

CVV/CVC :

The CVC or CVV code is the 3 or 4 digit number located on the back of your VISA/MC card.  It appears on the front of the American Express card.

Drivers License #:

State Issued:

Driv. Lic. Exp. Date:

 mm/dd/yyyy

Total Amount:

$

Event:

No. of Packages:

Date:

mm/dd/yyyy

Ticket Section:

   

Row:


By signing this form you are agreeing that once an order is placed with World Cup Specialist, you may not cancel. All sales are final.  I HAVE READ, FULLY UNDERSTOOD, AND ACCEPT THE CONDITIONS OF THIS CONTRACT.

Signature 

  Date:

mm/dd/yyyy

 

 PLEASE PRINT AND FAX TO WORLD CUP SPECIALIST  (805) 299-1863

 

 


World Cup Specialist is an independent, privately owned and operated company, and is not affiliated with Ticketmaster, any Venue, 
Theatre or Box Office. Our prices include a service charge above the face value that reflects our cost of obtaining quality tickets. 
World Cup Specialist Phone:  (805) 241-0736