Center Point Export (P.)Ltd.
P.O. Box: 21442,
Tel: 977 1 4413417, 4412750, Fax: 977 1 4412750
e-mail info@centerpoint.com.np
Payment by credit card
I Authorize
Centerpoint Export
To debit my Credit card account
With an amount
of USD/NPR
.
..of the purpose
(Specify)
The detail of my card is as
follows:
Card
Holders Name ----------------------------------------------
Card
Number --------------------------------------------------
Complete
address of the cardholder
------------------------------------------------------
Last
three digits on the signature panel
--------------------------------------------------
Expiry
date ---------------------------------------------------------------------------------
Signature
of the cardholder
---------------------------------------------------------------
Please Kindly receive a copy of my credit card (Both - Sides) and the copy of my identification (Passport) along with this request letter.