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- This is the Authorization Form for my payment to Xian Marco Polo International Travel Service Co., Ltd. who has confirmed my tour arrangement.
- MY TRACKING NO.
| Hereunder is My Credit Card Information | |
| Cardholder's Name(as appears on card) | (Please make sure the cardholder is one of the group members and also the cardholder's name is the same as the signature below.) |
| Type of Card | VISA MasterCard |
| Card Number | |
| Expiration Date | Month / Year |
| Verification Code | (The last three digits on the signature strip on the back of your card) |
| Issuing Bank | |
| The Amount I Would Like to Pay As the Tour Charge | |
| Amount (CNY) | ￥ (Please kindly add 3% card charge in your CNY amount) |
- My Authorization
- To China's Bank: I agree with the General Terms and Conditions of my confirmed tour with Xian Marco Polo International Travel Service Co.,Ltd.. I hereby authorize Xian Marco Polo International Travel Service Co., Ltd. to charge the above mentioned amount from my credit card as the charge for my tour.
(signature of the card holder)
Please print this page, write your signature, and then send a photo copy to us via email along with the copy of both sides of your credit card. Thank you!
