Credit Card Authorization Form

I hereby authorize Palio Tours and or its affiliate Ave Italia to charge the credit card given by this online form. The credit card will be used for my payment (deposit or balance due) necessary to confirm the travel related services I have requested. This is a SSL secured form to protect your information. The form is for credit card information only. It may require that a separate email be sent in order to clarify any details regarding your reservation.

Name as it appears on credit card:

Credit Card Number For Visa - MasterCard:

- - - - - - - - - - - 3-digit security code on back of card

Credit Card Number For AMEX:

- - - - - - - - - - - - - - 4-digit security code on front of card

Expiration Date:

enter as mmyy - no spaces, no special characters

BILLING ADDRESS for this Credit Card: Street - City - State (Provence) - Postal Code

Day Time TELEPHONE:

include country code for outside U.S.

EMAIL ADDRESS:

My reservation is for:

Venice Carnival Palio Package Opera Tour Day Tour Culinary Tour Cooking Class
Palio Tickets Opera Tickets Cruise Sailing Charter Transportation Property Rental

Enter any additional information or comments you would like us to know about your reservation:

A response to this form request will be sent to the email address you have provided.
If you do not receive a response within 2 business days, call 1.888.495.8502 or email info@paliotours.com

By my submission I signify my understanding of the Terms & Conditions