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FAX APPLICATION FOR GLOBAL CALLING CARD

Please complete this form then print and fax to (011) 448-2651.

First Name:
Surname:
Postal Address:
City Postal Code:
Country:
Daytime Number Area code -
Frequent Flyer Information
Airline/ Programme :

Frequent Flyer Number:

Please charge my international calls to my current credit card or charge card: (check one).

American Express® Diners Club International® MasterCard®    VISA®
Credit card number:
Expiry date:
Send me Global Calling Cards
 

LONG DISTANCE AUTHORIZATION: Through this document, I authorize Global One to bill all calling charges to my current credit card as designated above. If the application is approved, I understand that the charges billed to my Visa, MasterCard, American Express or  Diners Club will be subject to the same interest charges that may be applicable according to the terms and conditions determined on said account. Each call made with the Global Calling Card is subject to authorization of Global One before being completed. If my credit card is lost or stolen, is terminated or expires for any reason, or if I wish to end this authorization to charge to my account, I will immediately notify the credit card company and Global One .

 

Signature: ________________________________

 

Date: ____/____/_____

 

All of the Calling Cards will have the same name as it appears above and they will be under the same account number.

The delivery of your Global Calling Card(s) will be within 4 to 6 weeks

 

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