Credit card letter of responsibility/authorization

I, ______________________, authorize SC ALCEDO GRUP SRL (Explore),

first and last names

located in Chisinau, Republic of Moldova to charge my credit card in the amount

of _______________________________________Euro (______ EUR).
in letters

in figures

The credit card information is as follows:

Card Type:
_________________________________________
Card Number:
_________________________________________
CVV (or BHS code):
_________________________________________
Expiration Date:
_________________________________________
Cardholder's Name:
_________________________________________
Description of Purchase: _________________________________________
(air ticket, travel package, cruise etc.)

travel dates _______________________________

(travel period)

Billing address:

_________________________________________

I, hereby, confirm that I am the holder of the card and that there are enough
funds available on my card to cover the amount I am authorising.
Signature of Card Holder __________________________
(must correspond to that in your passport or ID)

Date: ___________________

Please, scan this Letter and email it on info@explore.md (secured email address with limited access).
Please, also attach a copy of your passport which contains your personal data and your signature.

S.C. ALCEDO GRUP S.R.L. has the obligation to respect your privacy and to safely manage the data
that you provided us. The collected data will be used only for the purchase described above.