CREDIT CARD AUTHORIZATION FORM

I, Cranta Melinda Lorena authorize MARBONA CONSULTING in

Bucharest, Romania to bill the Credit Card number provided for the amount listed below.

Credit card Type: Vaucher de vacanță

Credit card #: CVV: EXP: 07/24

Total authorized to charge: only in România

Passenges name:

Services: cazare

Signature of the card holder ……………………………… Date: 17 08 2020

MARBONA CONSULTING SRL, 231 Cal 13 Septembrie, Bl . V1, Ap. 45, Sect 5 Bucharest,
ROMANIA.
Tel: +40 21 410 96 10 / Fax: +40 21 410 96 16 / Email: office@marbona.ro