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Payment by credit card

High Mountain Wave Trekking - Payment by credit Card form

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Please complete, sign and fax at: + 977 1 4700769 with Complete information.

Alpine Travel Service P. Ltd. Date:………
Credit Card Centre
Durbar Marg, Kathmandu
Nepal

Dear Sir,

Authorization for the Payment by credit Card

I would like to pay US$…………… for the Advance of………………………..…......
to High Mountain Wave Trekking Pvt. Ltd. by VISA / MasterCard. The necessary details for this transaction are as below:

Card Number ………………………………………………….............................

Expiry Date ………………………………………………….......................…

Amount ……………………………………………….……..........................

Identification Number……..…....…………….....................................................

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

Kindly receive the copy of my credit card (both-side) and the copy of my identification along with this request Letter (please fax the photocopy of credit-card both side and your passport for identification)

Thank you for your kind co-operation.
Regards,

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

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

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

Passport number………………………………………………….........................….

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

Telephone…………………............fax………………….......................................

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

Confirm me, when you receive this :- By email or by fax

Tibet Trekking

	Kharta Valley trek
	Ganden - Samye trek
	Everest base camp
	Mt. Kailash Kora
	Mansarovar Kora
	Mt. Kailash - Guge Kingdom

Tibet Tours

	Central Tibet - 5 days
	Central Tibet - 7 days
	Central Tibet - 8 days
	Zhangmu - Lhasa -8 days
	Everest base camp -12 days
	Lhasa-Guge Kingdom
	Holy Lake Nam-Tso Tour
	Overland Lhasa-Ktm Tour
	Nepal & Tibet Mt. Kailash

Tibet Expeditions

	Mt. Everest Expedition
	Cho Oyu Expedition
	Shisapangma Expedition
	Gurla Mandata Expedition
	Lakpa Ri Expedition
	Nojin Kangsang Expedition

High Mountain Wave Trekking : "Trekking and tours organizer for Tibet"
URL: www.trekkingtibet.com Email: info@trekkingtibet.com
Phone: + 977 1 4700870/4700770, Fax: + 977 1 4770769
Thamel, Kathmandu, Nepal