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Authorization Letter
( Attachment : Copies of sides of the card and passport )
My name : .....................................................................................
Nationality : .....................................................................................
Passport number : .....................................................................................
Date of issue : ................................ Date of expiry : .............................
Address : .....................................................................................
Tel : ..................................................... Fax : ...........................................
Accompany with : ......................................................................................
.................................................................................................................
Hereby authorise the following company.
SDV TRAVEL Co., Ltd.
Add : 123A Bui Vien St., Dist.1, HCMC
Tel : (84-8) 9 206 998 - 2 911 114
Fax : (84-8) 8 385 598
Email :
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To withdraw the amount of $ USD : ...................................................................
(
................................................................................
) from my personal bank account by using my Credit card.
Card number
VISA MASTER
CVV / CVC Code
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Expire Date
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This amount is the payment for the following services
No
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Description
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Amount
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Tour services charge
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%
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Total
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Kindly acknowledge your acceptance to settle the above amount by signing three times and returning this application
Signature1
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Signature2 |
Signature 3
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We are looking forward to welcome you.
Thanks and sincerely. | |
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Card Payment
