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Sending Money by
Credit card (Visa and Master)
Payment procedure by Credit card (Master or Visa)
through fax
Please fill the form given below and fax us the
followings:
1. Photocopy of the filled form
2. Photocopy of the passport of the credit card holder
3. Photocopy of the card both side
Our fax number: 00-977-1-4238049
Please also note that: Payment by credit card (master or
visa) requires 3.3% extra by Alpine Card Service P.
Ltd.,
an agent of Master and Visa card in Nepal.
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Form for Credit card transfer
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Date:
Alpine Card Service P. Ltd.
Durbar Marg, Kathmandu, Nepal.
Dear Sir or Madam,
Re: Authorization for the Payment of Credit Card.
I would like to pay US$ ..... for the purchase of
.............to M/S Alpine Asian Treks & Expedition P
Ltd, MID No. 306101 by my VISA/ MASTER CARD. The
necessary details for the transaction are as below:
Card Number:
Card Expiry Date:
Amount in Figure:
Amount in Words:
Identification No. (P.P):
Card Holder's Date of Birth:
Address (Home/ Office):
Kindly receive the copy of my credit card (both sides)
and the copy of my identification (passport) along with
this request letter.
Thank you very much for your kind co-operation.
Regards,
Signature of the Cardholder:
Name of the Cardholder:
Note: Please verify amount.
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nepal
