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Payment by credit card
 

High Mountain Wave Trekking - Payment by credit Card form

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Please complete, sign and fax at: + 977 1 4700769 with Complete information.


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 
 
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High Mountain Wave Trekking, Trekking in Nepal, Nepal Trekking Agency
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Trekking Tibet Adventure : "Trekking and tours organizer for Tibet"
URL: www.trekkingtibet.com    Email: info@trekkingtibet.com
Phone: + 977 1 4700870/4700770,     Fax: + 977 1 4770769
Thamel, Kathmandu, Nepal