|
Credit Card Authorization
Form
******************* |
Cardholder's
Name:____________________________________________________
Home
Address:________________________________________________________
Country:_______________________
Zip Code:________________
I hereby authorize Songhan
Travel to debit
:
Amount (USD):
(____________________________________)
Amount in
Word:_______________________________________________(USD)
against my Credit Card , details of which are
listed below :
Visa Card ( )
Master Card (
)
Card Number: (_______________________________), Expire
on:(____________)
Month/ Year
| For
Services:________________________________________________________
________________________________________________________ |
Signature of
Cardholder:_____________________
Date:_____________________
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