Payments
by Credit Card
APPLICATION THROUGH FAX FOR
PAYMENT BY CREDIT CARDS
Date:................................................
The Manage
Himalayan Bank Ltd.
Thamel, Kathmandu , Nepal .
Subject:
Authority to process credit card transaction through Fax.
Dear
Sir,
I hereby authorize following merchant to process transactions as detailed
below.
Merchant Name : - Angel Tours & Travel Pvt. Ltd.
Merchant No :-
Account No. (NPR):- 019 00993960025
Account No. (USD):-019 00993960017
Branch
code: -Karmachari Sanchaya Kosh Building, Thamel.
Name
of Bank: - Himalayan Bank Limited.
Sift Code:
- HIMANPKA
Tel :- 00977-1-4700040, +977-9851049206
Fax:-
00977-1-4700040
Merchant Address :- Thamel, Kathmandu ,
Nepal
Card Holder Details:
Cardholder
Name .................................................
Card Number .....................................................
Expiry
Date ........................................................
CVV Number ......................................................
(3
digit printed number in the signature panel of card)
Transaction Amount ...........................(USD/INR./NRS.)
Passport Number ..................................................
Billing Address.....................................................
Contact Address .................................................
Phone No :........................................................
Fax No :............................................................
Email ID :............................................................
Note: Please add 4% on your total payment as
bank comission in payment by credit cards.
Disclaimer:
I kindly request you to process above-mentioned transaction. I
hereby agree and accept that I have fully read and agreed the terms and conditions
for the purchase of goods/ services through this transaction and I hereby indemnify
merchant and Himalayan Bank Limited for any disputes arising by virtue of this
transaction. The card has been issued in my name and I am the authorized user.
Note: Copy of Passport, Copy of front and backside of
card should be enclosed here with.
Sincerely,
............................
Signature
Click here Download for Payment
by Credit Card
