Information and Communications Technology Authority
Ph: 345 946 4282
Fax: 345 945 8284
Please fill out the following information to allow authorization of a credit card transaction to the ICT Authority.
I duly authorize the Authority to debit my credit
card account as listed below.
(Radio license type & particulars; ie: call sign, vessel name)
VISA , Expiration date
MASTER CARD , Expiration date
AMOUNT AUTHORIZED US$
CONTACT NUMBERS: Tel: Fax:
Signature of Card holder:
Should you have any questions, please contact our office for assistance.