Payment by Credit Cards
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




March 2010