Fill in this authorization form and print it. You can fax or send it by mail to Bahamas Gateway. Fax: (242) - 362-2497
Please address any mail to:

Bahamas Gateway, P.O. Box N-261, Nassau, Bahamas

Card number:

CVV/CVC code (You can find it on the reverse of some cards after the card main number, it is 3 digits long) or enter 123:

Expiry date: mm/yy

Business Name

Name on card:

Street:

City, Country, Zip:

I hereby authorize Bahamas Gateway to charge
$US to my credit card.

If you are paying by an arranged payment schedule, we will charge your credit card automatically, when payment is due.

Please specify: Visa, MasterCard

Signature ___________________________________

Date _____________________