LA HOTEL & RESORT ( Marasal Fevzi Cakmak Cad. Lapta,Kyrenia North Cyprus )
PAYMENT BY CREDIT or DEBIT CARD
I wish to pay by Visa / Master Card
please charge the below amount to my card.
Payment Amount
:
 ( £ UK Pound ) :
 
:
 TL (Turkish Lira) :
Payment to
:
 LA Hotel & Resort
Name of Card Holder  :  
Card Holder Address  :  
Card no.  :  
Card security number
(number located on back of card)		  :  
Card Expiry Date
:
  
Signature  :  
Date  :  
Please fax this form to IDD Code + 90 392 821 8992