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Please Print
This Page |
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Complete in Full (BLOCK CAPITALS PLEASE)
Sign and Fax to + 353 21 238
0242 |
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OR Post to our Address Above |
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OR Scan & Email to
ian@butlers-buses.com |
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| Your Customer Id No. (If Available)
___________________ |
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Company/Customer Name:
______________________________ |
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Phone: ________________________ |
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Fax:
________________________ |
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Email: ________________________ |
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| Nature of
Payment (Deposit, Interim Payment, Balance, etc): ______________________________ |
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| Your Booking Details in Brief: |
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Credit
Card Type: 
Visa
Access
Mastercard
American Express
(Please Tick One) |
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| Credit Card
Number ____________________________________________ |
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CVV Number _____________ (Click
here for information on your CVV Number) |
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| Card Holders
Name: _________________________________________ (As it appears on your card) |
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| Credit Card Expiry Date:
(MM/YYYY) _____________ |
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| Please
Debit This Amount From My Credit Card (EURO) EUR ______________ |
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| Card Holders
Signature _______________________________ |
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Refunds only apply for bookings cancelled within 7 days of this payment
being accepted |
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Click here to view our Q & A Section for more details on our cancellation policy
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