NOTE : Please add 4% extra bank charge on credit card payment |
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Please print and send it by fax to
Nature Trail Travels & Tours, Trekking & Expeditions (+ 977-1-4700926) |
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| (Complete information please)! |
Date:
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| Dear Sir, |
| Authorization for the Payment by credit Card |
I would like to pay US$……………………… for the Advance of…………………………………………….…………………….
to Nature Trail Travels & Tours / Nature Trail Trekking & Expeditions Pvt. Ltd. by VISA / MasterCard / American Express. The necessary details for this transaction are as below: |
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| Card Number ………………………………………… ……… …… |
| Expiry Date ………………………………………… ……… ……… |
CVV Number ………………………………………… ……… ………
(3 digit printed number in the signature panel of card) |
| Amount ………………………………………… …… ……… ……… … |
| Billing Address …… …… ……… ……… ……… ……… ……… … |
| ……… ……… ……… ……… ……… ……… ……… ……… ……… ……… … |
Kindly receive a copy 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, |
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| Signature of the Cardholder … ……… …………… ……… …………… |
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| Name of the Cardholder ……………………………… ……… ……… …… |
| Nationality of the Cardholder ………………………………… ……… |
| Passport number ……………………………………… ……… … ………… … |
| Arrival date in Kathmandu ……………………… ……… …… ……… |
| Address (Card holders') ……………………………… ……… … ……… |
| Telephone ………………… ……………………… Fax ……… ……… ……… |
| E-mail ……… ……… ……… ……… ……… ……… ……… ……… ……… ……… ……… ……… ……… ……… ……… |
| Please will you confirm, when you receive this :- By email or by fax or by Tel. or by telex |
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PRIVACY: All information contained herein is used solely by Nature Trail Travels & Tours, Trekking & Expeditions Private Limited for purposes of charging on your credit card and will not be released under any circumstances. |
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Operated under license and permit from Goverment of Nepal. References upon request. |
