|
Alpine Travel Service P. Ltd.
Date:
..............
Credit Card Centre
Durbar Marg, Kathmandu
Nepal
| Dear
Sir, |
| Authorization
for the Payment by credit
Card |
I would
like to pay US$
for the Advance
of
..
......
to Nepal Path Finder Pvt. Ltd.
by VISA / MasterCard. The necessary
details for this transaction are
as below:
| Card
Number
........... |
| Expiry
Date
.............. |
| Amount
.
............ |
| Identification
Number
..
....
............................. |
| Billing
Address ...................................................................... |
Kindly
receive the copy of my credit
card (both-side) and the copy of
my identification along with
this request Letter (please
fax the photocopy of credit-card
both side and your passport for
identification)
Thank
you for your kind co-operation.
Regards,
Signature of the Cardholder
.... |
| Name
of the Cardholder
.... |
| Nationality
of the Cardholder
|
| Passport
number
.... |
| Address
(Card holders)
.... |
| Telephone
.........Fax.............................. |
| E-mail
.
............................... |
| Confirm
me, when you receive this
:- By email or by fax |
|
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