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King Promise Consulting Ltd. |
Please fax us your credit card authorization to guarantee your hotel reservation.
Our fax number is: (86-10) 8580-1249
I, _______________________________________ authorize King Promise Consulting Ltd to debit my credit card account total amount
US$____________________ (CNY(RMB) ) to be the payment for my hotel room charges.
My hotel reservation is as following:
Hotel Name: ______________________________________________
City: ___________________ Number of hotel room: _______________
Hotel Guest Name:________________________________________________
Passport Number:______________________________
Check-in date:_____________ Check-out date:________________ (dd/mm/yy)
Note: We accept Visa ___, Master ___or AE Card ___ only.
I agree King Promise Consulting Ltd to charge my credit card for one hotel room night charges for each hotel room reserved if I do not check-in the hotel in the first night as reserved or no show
Credit Card Number:______________________________________
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Expiry Date: ______________. (mm/yy) Three Digit Code: ___________(For Visa and Master Card, last 3 digit number on the back of credit card)
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Card Holderˇ¦s Name: _________________________________________. (Must be the same as appear on your credit card and same as the person checking-in the hotel)
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Credit Card Issuing Bank: _______________________________________
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Credit Card Issuing Country: _____________________
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Credit Card Billing Address: _______________________________________
_______________________________________________________________. (The mailing address to receive your credit card statements)
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My Email Add: _____________________________________________
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Tel ________________ Fax:_______________
Card Holder's Signature: ____________________________Date:__________
Note:
Upon successful completion of this payment transaction, the merchant name in your credit card statement will be shown as "HUANXUN DIANZI SHANGWU SHANGHAI" being the Chinese name translation of our third-party online payment solution provider - International Payment Solution (IPS) Shanghai - which has been entrusted to accomplish our CCA online payment function.