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 High Mountain Wave Trekking 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 |
|
