EASTERN MEDITERRANEAN YACHT RALLY
 
CREDIT CARD PAYMENT FORM - 2017




I would like to pay with my credit card for the EMYR 2017 donation.

    Name Of Yacht :
         
First Name : Surname   :
Address      : City            :
Country     :
Post Code :


Card Number:



Card Type: Master
 
Visa
   Month
   Year
Valid Until:
Euro  



Security Number ( Last 3 digit registered at the rear of your credit card ):  



Doğu Akdeniz Yat Rallisi Derneği - EMYR Association is authorised to charge my card

for the amount of TL for in Garanti Bank; Işıklar Branch.

The donation amount is refundable till the 10th April 2017 except 900 TL non-refundable donation per yacht. There will be no refund option after this date for any reason.





Send as a copy to
echo

Please verify that you are not a robot.