Universal Credit Card Form

This form will NOT send your credit card information over the Internet. It will simply allow you to print out a neat, typed authorization form , sign it and fax it to us. Please contact us at books@costarica.net if you experience any difficulty.

We accept Visa, Master Card, and American Express only.
Please note that we charge a 5% processing fee on all credit card transactions.

CREDIT CARD FORM, FOR THE EXCLUSIVE USE OF
Costarica.net bookstore

Book Title
# Books
Amount
Postage and Handling:
Subtotal:
5% processing fee:
Total:
UPDATE PRICE
I hereby authorize the recipient of this form to charge my credit card for confirmed reservations as outlined above.
Card Holder Name:
Card Number:
Expiration Date:
Telephone:
Fax:    
E-Mail IMPORTANT!
Billing Address (Post Address)
This is the address your books are going to be delivered.
Authorized Signature:
X
Don't forget the signature!

Fax Free Number: 1-888-246-6580
or in Costa Rica, country code 506, fax number 256-1654

(From U.S. & Canada dial 011-506-256-1654)