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:
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!