If you wish to pay by credit card, you please fax three hereinafter documents to Hanoi Toserco Company., Fax: (84-8) 9203197.
The copy of the page with photo of Passport.
The copy of 2 sides of the credit card.
The sheet of credit card payment form as follows.
CREDIT CARD PAYMENT FORM
Beneficiary:
Hanoi Toserco Company., 95 Tran Dinh Xu St, Dist 1, HCM City, Vietnam.
Tel: (84-8) 9203193 - Fax: (84-8) 9203197.
Payer’s data:
Family Name: _________________________ Given Name: ___________________________
Address: ____________________________________________________________________
City or Town: __________________________ Country: ______________________________
Telephone: _____________ Fax: ________________ E-mail: _________________________
Payment for Services:
Name of services: _____________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Departure date: _______________________________________________________________
Payable Amount in US Dollars: (in figures) _________________________________________
(in letters)____________________________________________________________________
Credit Card Information:
Payment by credit Card: Visa Amex Master JCB
Credit Card Number: __________________________________________________________
Credit Card Expire Date: _______________________________________________________
Credit Card Holder Name: ______________________________________________________
Payable Amount in US Dollars: (in figures) ________________________________________
(in letters)___________________________________________________________________
I hereby authorize Hanoi Toserco
Company to charge the above amount to my credit card
Date: ______________________ Signature of Cardholder: ______________________________