Tickets Form - Abandoned Children - 9 de Diciembre de 2007

BILLING INFORMATION:
Enter the Credit Card billing address and name exactly as it appears on your credit card statement. Otherwise it will be declined. All fields are required.

First Name

Last Name

Address

Address 2

City

State

Zip Code

Country

Telephone

E-mail

CREDIT CARD INFORMATION:
This is a secure server. Your information is safe and encrypted in RSA (1024 Bits)

Card Type

Card Number

ID Number of the Card

(Only for cards issue in United States)

	The Number of Identification of the Card (ID Card) is required for American Express, Visa and MasterCard. The identification of the Card is a secure method, the help to protect you against online fraud.
			American Express 4 digits in the front of the card		Visa and Mastercard last 3 digits in the back of the card

Expiration Date

Month Year

ORDER INFORMATION:

Event	# Tickets	Ticket Price	Sub Total
Reception and Lunch		$ 50.00 per ticket

Credit Card Processing Fee ( $2.00 per ticket )
Order Total
I allow Abandoned Children Foundation of Nicaragua to bill my credit card and agree to pay the total amount according to my card agreement. Please review your order for accuracy. Will Call (Tickets held at Will Call can only be retrieved by the cardholder with original credit card of purchase and a valid photo ID with signature such as a state ID, driver’s license or passport.)

By clicking the button you agree to our TERMS OF SALE below.

TERMS OF SALE:

Reservation subject to availability.
Refunds and cancellation of the payment will be made within 7 days of receipt of a valid written request from the cardholder prior to the event.