CREDIT CARD AUTHORISATION (CB, VISA, MASTERCARD, AMERICAN EXPRESS) For a car rental (110 ) From 28 DEC-07 JAN 2015 ( STE281214 ) CREDIT CARTE NUMBER ‘oem lo 2) 18 | [éle [él / | NAME, FIRSTNAME, SOCIETY AS NAMMED ON THE CREDIT CARD (LESSEE) STEPANOVA [TOTAL AMOUNT ESTIMATED — | [J [7]s]o],[o | 0 | €ture Cancellation policy : -If the rental is cancelled less 15 days before, 3 days will be charged -if the rental is cancelled less 2 days before, 50% of the rental will be charged -if the rental is cancelled the day of the arrival, the totality of the rental will be charged Please sign the mention that follows: ept to be charged with my credit card number”. CANCELLATION POLICY FOR ALL BOOKING FROM DEC 15* 2014 TOJAN 14* 2015. Please consider the car rental not confirmed if we don't have any credit-card number to finalize the reservation before DEC I 2014 EFTA00314103