Australian High Commission
Canada
Responsibility for Bermuda

Passports credit card form

CREDIT CARD AUTHORISATION FORM

Please print and complete this form clearly in BLOCK LETTERS.  Sign and send it with your application. 

Type of Card (Check one):

VISA

 

MASTERCARD

 


Card Number:  
Expiry Date:  
CVC (3 digit number on back of card):  

Name as it appears on the card:

 

Billing address of this card:

 

Check items to be charged to the card:
 

Application fee

   

Lost/Stolen fee

   

Postage

  

Notarial fee

  

Note:
Application fee: Includes, if required, fees for emergency passports or documents of identity.

Postage Fee: Unless collected in person, passports and documents are returned by Canada Post Registered Mail. If preferred, you can provide a prepaid self-addressed express or priority envelope from either Canada Post or courier company for the return of your documents.


Signature:  
  I agree to pay for the goods and/or services indicated, and agree to perform the obligations set forth in my agreement with the card issuer.
Date: