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Credit
Card No: _______________________________________________ |
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Expiry Date:_____/_____ (MM/YY) (Should be valid for at least
6 months), |
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Amount:__________________________ |
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Issued by:__________________________________ (Name of
the issuing bank) |
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Complete
Address:________________________________________________________________________________________________________________ |
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________________________________________________________________________________________________________________________________ |
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Contact No: __________________________________________
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I understand that all payments for services rendered/to be rendered
are to be charged to my Credit card account and I undertake
to unconditionally honor and pay the |
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said charges as and when I am billed for the same by the aforementioned
bank. |
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I agree to inform Services International in writing about
the alternative payment option in the event that the above card
is cancelled, substituted, or not renewed. |
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Signature of the Cardholder (as appearing on
the Credit Card):__________________________ |
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Place : _____________________
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Date : _____________________
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Encl: Photocopy of the front side of the credit card duly signed
by me
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Services International : Option to International Credit
Cardholders
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As a convenience to our international customers, we
now offer you a choice to be billed in your card billing currency
or Indian Rupees when you pay with |
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a Visa or MasterCard payment card. Please indicate your
choice of transaction currency by checking the box below and
signing, to confirm your option. |
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* __________________ (Signature) I would like
my bill to be transacted in my card billing currency
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* __________________(Signature) I would like my bill to be transacted
in Indian Rupees/billing to be in INR in case card billing currency
is not supported |
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for DCC
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Your choice of transaction currency is final.
The exchange rate for currency conversion will be determined
on the order processing date. This service is |
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offered by the merchant’s service
provider. No additional fee or commission is applied.
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American Express Card
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AMERICAN EXPRESS CARD (There will be an additional charge
of 3 %) |
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MAIL ORDER REQUEST FORM |
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I ___________________________ HereBy Authorize adventures holidays |
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(Cardmember
Name) |
