EDUCON 2017
I authorize TRIAENA TOURS & CONGRESS S.A. to debit my Credit Card fot the total amount of
Card Holder Fullname:
Participant Last Name:
Participant
First Name:
No Card:
Expiration Date:
CCV Digits*:
*CCV is the 3 last digits found on the rear side of your credid card.
Visa
MasterCard
American Express
Date:
Signature:
Print