Universal Credit Card Form 
Please fill in full this form with your computer keyboard in CAPITAL LETTERS, then PRINT and SIGN        
and fax it to Posada Belen - Guatemalaweb for their exclusive use
Fax To: ++ 502 2251 3478 ...  add your international exit code first
In USA.. 1 305 402 0373

DATE

DESCRIPTION OF SERVICES TO CHARGE

AMOUNT USD

TOTAL USD TO CHARGE CARD:

PASSENGERS NAMES and COMMENTS:
CUSTOMER  NAME:
E-MAIL :
CREDIT CARD TYPE: I hereby authorize  Posada Belen or Guatemalaweb to charge my credit card:
  for confirmed reservations/services as outlined above.
CARDHOLDER NAME :
CARD NUMBER: EXPIRATION:
SECURITY CODE  THE  3 LAST DIGITS IN THE BACK OF Visa/MC CARD NEXT TO THE SIGNATURE 
BILLING STREET 
BILLING CITY: BILLING ZIP CODE:
ESTATE/REGION: BILLING COUNTRY:
TEL: FAX:
PASSPORT NUMBER:   PASSPORT COUNTRY:
BIRTH DATE:

Cancellation and no-show policy: No refund will be issued for no-shows or cancellations made less than 30 days. A 80%   refund  on Services Purchased will be issued for cancellations made more than 30 days prior to reservation date. A full refund  based on Services  Purchased minus a minimum of $15 or 20% Administration fee (whichever is greater)  will be issued for cancellations made more than 30 days prior to reservation date. In case of refunds to charges made in local currency there is a exchange rate difference thet we do not cover.

_________________________________________________________
CARD HOLDER SIGNATURE