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桂林桂冠国际旅行社
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Private & Confidential Payment Guarantee - Credit Card Authorization FormAfter completion of this form please fax it to: ++ 86 773 3555592 (GCITS only accept the VISA , MASTER, JCB and Diner card)
To: China Travel Summit Tour tracking code: ____________ GCITS Your travel advisor: __________________ No. 1 Nan Men Bridge South Zhongshan Road Guilin, China Guilin 541002 China Tel: 86-773
From: ___________________________________________ (Name)
___________________________________________ (Street)
___________________________________________(City, State, Zip, Country)
China Travel Summit will confirmed yourbooking for the requested travel arrangements after we receive this signed& completed payment guarantee form. The deposit which is equal to 30%of the total tour cost will be drawn after your bookings are confirmed.Final payment will be drawn 30 days before departure for your China tour. (China Travel Summit only accept the visa and master card)
To the Bank of China: I hereby authorize Guilin Crown International Travel Service, to charge the amount of RMB_______ ( which equals US$ on the date of invoice) from my Credit Card as my deposit which is equal to 30% of the total cost for my Tour in China. Guilin Crown International Travel Service also has the authorization to charge the amount of RMB_________ (which equals US$ on the date of invoice) from my Credit Card 30 days beforedeparture for my China tour as the balance for my Tour in China .
Credit Card Type: __________________( We are unable to accept payment via Debit Card)
Card Holder’s Name: __________________________
Card Holder’s Birth Date (MM/DD/YYYY): ____/____/______ Nationality: ________________
Credit Card Number: __________________________________________CVV2 Number_____ *(3-digits at the end of your cc number in the signature line on the back of your card)
Expiration Date (MM/YYYY): ____/_______
Issuing Bank of your credit card: ___________________________________
Billing address: (If different from above) _____________________________________ (Name)
______________________________________ (Street)
______________________________________ (City, State, Zip)
My phone number: ______________________________ My passport number ______________
____________________________(signature of card holder)
Notes: l The Bank of China requires a legible photocopy of both sides of your credit card. Please, send the copy (page 2) with this form. l To enable us to finalize your reservation you are kindly requested to fax this completed form to us within 3 working days ( or scan and email )
l The receipt of your fax indicates that you have read and accept the Terms and Conditions as found at: http://www.chinatravelsummit.com/aboutus.asp?id=10
Please fax ( or scan and email ) this page with your completed Authorization form. (Page 1) |
