Credit Card Authorization FORM Pineapple Tours Hawaii.LLC
www.pineappletours.com

Please fill this out form for authorizing credit card number for us. We will have SLL system in this form.

Credit Card FORM

※は必須項目です
NAME  ※
Mail address  ※
Address  
City, ST, ZIP
Phone Number  ※
Cell-number
FAX


We will keep credit card number for guarantee. We wont charge now.
and we will charge whenever we need, let you know when we do.

Thank you for your business.

　Please Be careful to not put wrong numbers.
We charge 4.712% state tax after total amount.
Card Brand
 If there is no brand here, please put before card number.
Credit Card Number
 ※
例）123412341234
Expire
Month　 year  ※
Name on the card
 ※
If any question, Request, let us know here. 　




Submit?