Credit Card Authorization Concierge | Barbados Sotheby's International Realty • Barbados

CREDIT CARD AUTHORIZATION

Please complete form in BLOCK LETTERS

I, hereby authorize Coral Island Real Estate Limited, trading as Barbados Sotheby’s International Realty, of Elville House, Church Point, St. James, BB24016, Barbados, WI, to debit my credit card as per details set below, for payment of:

NAME OF CARD HOLDER*
(As shown on credit card)

MAIN CONTACT IN PARTY*

PROPERTY*

DATES*

BILLING ADDRESS*

EMAIL ADDRESS*

TELEPHONE NUMBER*

Please complete and return to us.

TYPE OF CARD*

VISA MASTERCARD

CREDIT CARD NUMBER*

EXPIRARTION DATE*

SECURITY NUMBER*

AUTHORIZATION USE FOR

Deposit (US$)*

Security Deposit (US$)*

Final Payment*

Incidentals on Island
Statement of account will be provided on island.

CARD HOLDER SIGNATURE*

Date*

*Please note that all transactions are made in Barbadian currency and an exchange rate applies.
BDS $2.06 - Visa Card | BDS $2.06 - Master Card