Home    www.inyonirocks.co.za Credit-Card charge-back fraud protection form



I, the undersigned, confirm having booked / used / received the goods / services from
www.inyonirocks.co.za
reflected hereunder and as per the indicated email received:

Client Signature:


 __________________________________________________
Client Name:


 __________________________________________________
Identification / Passport Number:


 __________________________________________________
Date Email received indicating booking / used / received goods / services:


 __________________________________________________
Date:


 __________________________________________________




Terms and Conditions available at http://www.inyonirocks.co.za/termsandconditions.htm