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This is to guarantee my payment to Guilin Overseas Tourist Corporation after Guilin OTC has confirmed my booking for the requested tour arrangements.
To the Bank of China:
I hereby authorize Guilin Overseas Tourist Corporation to charge the amount of RMB__________ (inclusive of a 3% bank processing fee), equivalent to USD________________ from my Credit Card as □deposit □ full payment for my tour in China.
Guilin Overseas Tourist Corporation also has the authorization to charge the amount of RMB___________ (inclusive of a 3% bank processing fee), equivalent to USD_____________ from my Credit Card after __________ (MM/DD/YYYY) as the balance for my Tour in
China.
Card Holder's Signature (must):___________________
Guilin OTC has a copy of my card, the number and expiration date as detailed bellow:
Credit Card Type: □ Visa □ Master Card □ American Express
Card Holder's Name (Must): _______________________________ Nationality (must):_________________
Card Holder's Birth Date (MM/DD/YYYY): _____________
Credit Card Number (Must): _____________________
CVV2 Number (Must): _________________(3-digits at the end of your card number in the signature line on the back of your card)
Expiration Date (MM/YYYY) (Must): ____/_______
The Bank issuing your credit card (must): _______________________
Billing address: (If different from above)
_____________________________________ (Name)
______________________________________ (Street)
______________________________________ (City, State, Zip)
Please make photocopies of both sides of your credit card and your passport, then attach them at the space below or another paper.
Copy of your credit card (front) (Must) Copy of your credit card (Back) (Must)
Copy of your passport (photo page) (Must)
After the completion of the form and photocopies, please fax us at: (+86) 773-3810333.
Thank you very much. |