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Phone:
800 2682918 (free in USA),
(86)773 283 1999
Private
& Confidential
Credit Card Authorization Form
From:
______________________________________ (Your name) This
is to guarantee my payment of my order from CITS GUILIN when CITS GUILIN
has confirmed my booking as what we have agreed. CITS has the copies of my card, the number, and expiration date as you can find below. Credit Card Type: ______________________ Card Holder's Name: _____________________ Card Holder's Birth Date (MM-DD-YYYY): ________________; Nationality: ________________ Credit Card Number: ____________________________________________ Expire Date (MM/YYYY): ___________ / ___________ Issuing Bank of your credit card: ___________________________________ My billing address:
____________________________(Your
signature)
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