Please fill in the following details for online payments and FAX the same to us. Kindly ensure that these details are NOT sent by email
for security reasons

After filling this form, please print it, sign it  and fax it to the following number:
254 20 2252015

REF:  AUTHORITY TO DEBIT CREDIT/CHARGE CARD

I hereby authorize Barclays Bank of Kenya to debit my card for the credit of Victoria Safaris, P.O. Box 10511 - 00400, Nairobi, Kenya

---

Please Note:

• Once the payments have been effected, we shall send the clients copy to you for your records.
• The card company will go through their regular procedure to obtain authorization, and in doing so they may contact you personally for verification details