I wish to pay by Master Card / Visa (circle as applicable)
I authorize you to debit my account with the amount of $ ___________________________
CREDIT CARD STATEMENT WILL READ: PEGASUS FESTIVALS, USA
Card Number : __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Security Code (last 3 digit number on card signature strip): __ __ __
Expiration date: ______/______
(Month & Year)
Name as on Card __________________________________________________________________
Cardholder’s address_______________________________________________________________
(MUST BE BILLING ADDRESS)
City, ___________________________________________State___________ Zip ______________
Signature ________________________________________________________________________
Telephone _______________________________________________________________________
Email:___________________________________________________________________________
Incase we need to contact concerning the credit card transaction. If your card is declined you will need to send a check or money order as payment.
/Documents/Credit Card.pdf