Secure Payment - ASLA TRAVEL GROUP

Secure Payment Form

Agency Name(Required)

Agency Email(Required)

Telephone Phone(Required)

Service date(Required)

Invoice Number(Required)

Amount to be charged(Required)

Tour Description and Customer Lead Name

Notes

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Name of Card Holder(Required)

Card Type(Required)

Card Number(Required)

CCV2 Code(Required)

Expiry Month(Required)

Expiry Year(Required)

DMC and Incoming Tour Operator

for Baltic States, Nordic Countries

and Eastern Europe.

Bridgefoot House,

159 High St,

Huntingdon, Cambridgeshire,

PE29 3TF, England.

Tel: +44 (0)1480 433783

Monday to Friday: 09:00 - 17:30 (GMT)

Closed UK public holidays .