Please print and fill up complete information to Pay by Credit Card than send it by Fax or E-mail 

Alps Adventure Treks & Expedition (P) Ltd
P.O.Box 10936, Thamel
Kathmandu Nepal
Tel: 00977-1-4221238, Fax:  00977-1- 4221238

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                                                                               Date: ................................

 Authorization for the Payment by credit Card

Dear Sir,

I would like to pay US$…………… for the Advance of……………………………..................................To

 Alps Adventure Treks &  Expedition (P) Ltd by VISA / Master Card. The necessary details for this

transaction are as below:

Card Number ……………………………………………

Expiry Date ………………………………………………

Amount. ………………………………………………….

Billing Address..………………………………..................………………

Kindly receive a copy of my credit card (both-sides) and the copy of my identification (Passport) along with this request Letter. Thank you for your kind co-operation.

Regards,

Signature of the Cardholder………….......................................................

Name of the Cardholder…………………………………........................

Nationality of the Cardholder……………………………………............

Passport number…………………………………………........................

Arrival date in Kathmandu………………………..……………...............

Address (Card holders’)………………………………………….............

Telephone…………………………………...........fax…………………....

E-mail…………………………………….……..........................................

Please will you confirm, when you receive this: - By email ................................................              

Note: It is to be noted that extra 3% of the transfer amount will be levied as Bank processing fees.                                                       

Operated under license and permit from  Government of  Nepal. References upon request.