Private & Confidential

Credit Card Authorization Form

Fax Date: ________________	My Tour Tracking Code: ____________________
TO: (Your tour operator's name) English Department, CITS Guilin 541002 41 Bingjiang Road, Guilin. China Fax: ++86-773-2805303 Tel: ++86-773-2810927	From: __________________ (Your name) Your address: Fax: Tel:

I hereby authorize China International Travel Service, GUILIN (CITS Guilin), to debit my credit

card account ____________ (including my tour cost _____________ plus 3% Bank process

fee ____________ ) to settle the ___________________________________________.

CITS has the copies of my card, the number, and expiration date as you can find below.

Credit Card Type: ______________________ (We accept only visa or master)

Credit Card Number : ____________________________________________

Expiry Date : ___________/ ___________ (MM / YY)

My billing address:

Thank you.

Your signature here: ____________________

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The Bank of China requests a photocopy of both sides of your credit card (Back and front). Please put it at the space below, or make it on a separate paper.

Copy of your credit card (Back and front)

Copy of your credit card (front)

Copy of your credit card (Back)

Remarks: Please kindly fax back your completed and signed Credit Card Authorization Form to us at : (86) 773-2805303 within three working days, otherwise, the above reservation will be cancelled.