If you want to fax us your credit card details, please fill out this form and fax it to ++41 21 331 48 40 with a clear photocopy of both sides of your credit card as well as a photocopy of your passport:

Amount to be charged:

Type of card:

Cardholder's name as on card:

Card number:

Expiration date:

Credit card billing address:


CVC2/CVV2 code:

Your name:

Date:

Cardholder's signature:

I authorize Micheloud & Cie to charge my credit card. I have read, understood and approved Micheloud & Cie's business conditions including its refund policy.