Payment by Credit / Master Card

Please print out this form; fill up in details, completely and send us it via email nepaljourney@gmail.com  along with a copy of cardholder's passport or any identity card. It is also noted that 4% extra will be levied as Credit Card processing fee.

                                                                                                                                            Date:

Re: Authorization payment by Master / Visa Card
 

Dear Sir/Madam,

I would like to pay USD_________ (In Words US Dollars_________________________________________________) for the advance of _____________________________________________________ to Asian Journey Treks & Expedition Pvt. Ltd.,  by my Master / Visa Card. The necessary details for this transaction are as below:



Card Number :-

Card Expiry Date :-

Amount in Figure :-

Amount in Words :-

Identification No. ( P.P. or I.D.) :-

Address (Home/Office) :-

Kindly receive the copy of my passport and copies of both side Master/Visa card  along with this request letter.

Thank you for your kind co-operation.


Kind regards,

Card Holder's Signature:___________________________________________________

Card Holder's Name:__________________________________________________________________________________