Please print and send it by fax to
Nature Trail Travels & Tours, Trekking & Expeditions (+ 977-1-4700926)

(Complete information please)!


Date:

Dear Sir,

Authorization for the Payment by credit Card

I would like to pay US$…………………………….……..for the Advance of ………………………………………………………
to Nature Trail Travels & Tours / Nature Trail Trekking & Expeditions Pvt. Ltd. by VISA / MasterCard / American Express. The necessary details for this transaction are as below:

Card Number....................................................................................................

Expiry Date.......................................................................................................

CVV Number: ..................................................................................................
(3 digit printed number in the signature panel of card)

Amount .............................................................................................................

Billing Address .............................................................................................................................................................................................................................

Kindly receive a copy of my credit card (both-sides) and the copy of my identification (Passport) along with this request Letter. Thank you for your kind co-operation.

Regards,

Signature of the Cardholder......................................................................................................

Name of the Cardholder..............................................................................................................

Nationality of the Cardholder....................................................................................................

Passport number...........................................................................................................................

Arrival date in Kathmandu.........................................................................................................

Address (Card holders’)..............................................................................................................

Telephone.........................................................       Fax................................................................

E-mail ................................................................................................................................................

 Please will you confirm, when you receive this: - By email or by fax or by Tel. or by telex 

 Privacy: All information contained herein is used solely by Nature Trail Travels & Tours, Trekking & Expeditions Private Limited for purposes of charging on your credit card and will not be released under any circumstances.

Note: For credit card payment please add 4% for Master card or Visa card as bank charge.

 Please fax this authorization form at + 977 1 4700926 or scan it and email to us