Private
& Confidential
Credit Card Authorization Form
| Fax
Date: ________________ |
My
Tour Tracking Code: ____________________ |
TO:
(Your tour operator's name)
ENGLISH DEPT
CITS GUILIN 541001
41 BINJIANG ROAD,GUILIN. CHINA
|
Fax:
++86-773-2885309
Tel: ++86-773-2810927/2828304 |
From:
______________________________________ (Your name)
Your address:
This
is to guarantee my payment of my order from CITS GUILIN when CITS GUILIN
has confirmed my booking as what we have agreed.
To Bank of China:
I hereby authorize China International Travel Service, GUILIN, to charge
amount of US$____________ from my Credit Card as my deposit for my Tour
to China.
China International Travel Service, GUILIN, has the right to charge amount
of US$____________ from my Credit Card as the down payment for my Tour
to China after _________________ when my balance is due.
CITS
has the copies of my card, the number, and expiration date as you can
find below.
Credit
Card Type: ______________________ Card Holder's Name: _____________________
Card
Holder's Birth Date (MM-DD-YYYY): ________________; Nationality: ________________
Credit
Card Number: ____________________________________________
Expire
Date (MM/YYYY): ___________ / ___________
Issuing
Bank of your credit card: ___________________________________
My
billing address:
My phone number:
My passport number:
____________________________(Your
signature)
Please kindly sign by the cardholder and fax back to us
at: (++86) 773-2885309
The Bank of China requests a photocopy of both sides of your credit card
(Back and front) CLEARLY. Please put it at the space below, or
make it on a separate paper.
Copy
of your credit card (front) |
|
|
Copy
of your credit card (Back) |
|
Remarks: Please kindly fax back your completed and signed Credit
Card Authorization Form to us within three working days; otherwise, we
will not be able to firm up your reservation. |
