Credit Card Form

Authorization for the Payment by Credit Card

I would like to pay US$. ……… for the advance of. ……………………..…. to Friends Adventure Team Pvt. Ltd by my VISA / MASTER CARD. The necessary details for this transaction are as below:

Card Number:

Card Expiry Date:

Amount in Words:

Cardholder’s Date of Birth:

Passport Number:

Card Holder Full Name:

Address (home/office):

Kindly receive the copy of my passport along with this authorization form.

Signature of Cardholder _________________ Date: ---------------------

Privacy: All information contained herein is used solely by Friends Adventure Team for purposes of charging on your credit card and will not be released under any circumstances.

Note: Please add 3 % extra bank charge on credit card payment.

Please fax this authorization form at +977-1- 4381031

[ Download the print verson copy here ]