Date:-
RE:
Authorization for the Payment by Credit Card
Dear
Madam/Sir
I
would like to pay US$………..... for the
purchase of …………………………………………………….
to M/S Adventure Thirdpole Treks (P.) LTD. by my VISA /
MASTER CARD. The necessary details for this transaction
are as below:
Card Number:
Card
Expiry Date:
Amount
in word:
Identification
No. (P.P. or I.D.):
Card
member’s Date of Birth:
Billing
Address (home / office):
Enclosed
here are the copies of my credit card (both sides) and the
copy of my identification (passport) along with this request
letter.
Thank
you for your kind co-operation. Regards,
Signature
of the Cardholder----------------------------------
Name
of the Cardholder ---------------------------------------
Note:
Please verify amount
Our
fax number in Nepal: 00 977 1 4410834
If you
are from USA and feel convenient, you can fax us on our
USA fax number 775 305 0690 and it would be cheaper for
you to fax us your necessary documents. Please be sure that
we can get your fax immediately even you send us fax through
our USA fax number.
