E-Mail Address:
Name On Card:
Billing Address & Telephone Number:
Card Number:
Expiry Date:
Security Code (Last 3 numbers on back of card)
Amount of Authorization Charge:
MARGARITA TRAVEL CREDIT CARD AUTHORIZATION PAGE
I authorise Margarita Travel to charge my card on Club Med's behalf.
Please note you will be charged in Canadian Dollars and the charge on your card will be psoted as CLUB MED CANADA.
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