Asia Travel Packages online payment system
CREDIT CARD PAYMENT AUTHORIZATION

Payment Faxed

  Transaction Date:
I / We,    Authorize Ghale Treks & ExpeditionPvt., Ltd. of Kathmandu, Nepal.
to charge the sum of :

(Please indicate currency US$)

(in letters)

TO: Pay By Visa Card Online Nepal Travel and Trekking Trips
Visa
 May By Master Card Online Nepal Package
Master Card
Card Number :               Expiry Date :
Please fill in the last three-digit number (for VISA / MASTER card) or four digit number appearing on signature panel:
(What is the Secure Number?)

My name as appear on the card is :

The above mentioned charge is for :

Card Holder’s Signature :
_________________________
Date:
Cardholder's Passport No :
Cardholder's Address :
Cardholder's Tel. No : Country Code   No
Cardholder's Fax No : Country Code   No
Instructions on How to Use This Form:
1) Kindly fill your credit card type, card number, name on card, expiry date, plus the last 3 or 4 digits on the back of your card (depending on your card type)
2) Print out the form and verify that all details are correct, then please sign your name on the "Card Holder's Signature" line
3) Fax authorization form, along with copy of the credit card on both sides at: (+977-1) 443 -7187
4) Please also fax a copy of passenger's passport (the page with picture and passport holder information)
You will not be charged until your room has been confirmed. All charges will be noted in the confirmation email that you will receive immediately after your booking request has been confirmed.
Any Help with PaymentAny Help?