Credit Card Authorization Letter
Confidential
Credit Card Authorization Letter
To:Jeff Davis Your Customer ID: INOT-CW-15478
India Odyssey Tours
Guilin Tang Dynasty Tours Your travel consultant: Catherine Wang
Room 208, Building 6,
No. 11 Huixian Road, Qixing District, Guilin, Guangxi 541004, China
Fax: +86 773-5817058
From:
This is to guarantee my payment to India Odyssey Tours (Guilin Tang Dynasty Tours-an official registered company name of India Odyssey Tours) after India Odyssey Tours has confirmed my booking for the requested travel arrangements.
To Bank of China:
I hereby authorizeGuilin Tang Dynasty Tours, to charge the amount ofUSD 2942 as the deposit from my Credit Card for my tour with Odyssey.
Tang Dynasty Tours also has the authorization to charge the amount of USD 6864from my Credit Card before November 27, 2016as the balance for my tour with Odyssey.
Credit Card Type: （We accept Visa, MasterCard and AE card but not debit card）
Card Holder’s Name:
Card Holder’s Birth Date (MM / DD / YYYY):
Nationality:
Passport No:
Credit Card Number:
CVV2 Number: (4-digits for AE card/ 3-digits at the end of your cc number in the signature line on the back of your Visa and Master card)
Expiration Date (MM / YYYY):
The Bank issuing your credit card:
Billing Address: (if different from above)
(Street)
(City, State, Zip)
Notes:
The Bank of China requires a legible photocopy of both sides of your credit card. Please, send the copy (page 2) with this form.
To enable us to finalize your reservation you are kindly requested to scan this completed form to us via e-mail within 3 working days
The receipt of your scan indicates that you have read and accept the Terms and Conditions as found at
Please, scan this page with your completed Authorization form,
and a copy of the card holder’s passport, and cardholder’s signature.
Please make a copy of both sides of your credit card on this page and scan it to us via e-mail or use digital camera to take the photos, and email us the digital image files.
Copy of your credit card (front)Copy of your credit card (back)
Please, scan this page with your completed Authorization form,
and a copy of the card holder’s passport, and cardholder’s signature.
3. Cardholder’s Signature:
______
Or please fax your completed Authorization form, and a copy of the card holder’s passport to us.
Our fax number: +86 773 5817058
Thank you!
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