Hello!!! ¿Which Credit Card will you use?
- VISA
Please copy the corresponding FORM in only one page in word, fill in, print it, sign on it and send it to our Fax Number. Send also the photocopy of your credit card (both sides) and the photocopy of your passport!
Fax Number of Rundomundo: (+511) 467-6554
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DATE: Miraflores, ................................. |
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SEÑORES
VISA
NET
Lima, Perú
With
the present document i authorize to PROCESOS VISA PERU S.A. the
charge of the total amount stipulated by the travel service in my VISA credit
card.
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DESCRIPTION OF THE PRODUCT |
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TOTAL AMOUNT TO CHARGE |
EXCHANGE
RATE S/ 3.57 |
SOLES |
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US
DOLLARS |
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THE
NECESARILY INFORMATION TO REGISTER THE INFORMATION IS:
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HOLDER CREDIT CARD NAME |
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VISA CARD ACCOUNT |
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- |
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- |
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- |
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- |
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| EXPIRATION DATE |
MONTH |
YEAR |
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VALID CODE |
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TRANSACTION DATE |
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PASSPORT NUMBER (CVC2) |
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COUNTRY |
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ADDRESS |
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TELEPHONE/ FAX/ E-MAIL |
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The holder of the Credit card must send us the photocopy of your Credit card (Both sides) and the photocopy of your passport.
As a signature of conformity, the HOLDER OF THE VISA CARD signs this document with date of .....................................................................................................................
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SIGN |
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DATE: Miraflores, ................................. |
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SEÑORES
AMERICAN EXPRESS
Lima, Perú
With
the present document i authorize to PROCESOS VISA PERU S.A.
the charge of the total amount stipulated by the travel service in my VISA
credit card.
|
DESCRIPTION OF THE PRODUCT |
|
|
TOTAL AMOUNT TO CHARGE |
EXCHANGE
RATE S/ 3.57 |
SOLES |
|
|
|
|
US
DOLLARS |
|
THE
NECESARILY INFORMATION TO REGISTER THE INFORMATION IS:
|
HOLDER CREDIT CARD NAME |
|
|
VISA CARD ACCOUNT |
|
|
|
- |
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- |
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- |
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- |
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| EXPIRATION DATE |
MONTH |
YEAR |
|
VALID CODE |
|
|
TRANSACTION DATE |
|
|
PASSPORT NUMBER (CVC2) |
|
|
COUNTRY |
|
|
ADDRESS |
|
|
TELEPHONE/ FAX/ E-MAIL |
|
The holder of the Credit card must send us the photocopy of your Credit card (Both sides) and the photocopy of your passport.
As a signature of conformity, the HOLDER OF THE VISA CARD signs this document with date of
.....................................................................................................................
|
SIGN |
|
|
DATE: Miraflores, ................................. |
|
SEÑORES
MASTER CARD
Lima, Perú
With
the present document i authorize to PROCESOS VISA PERU S.A.
the charge of the total amount stipulated by the travel service in my VISA
credit card.
|
DESCRIPTION OF THE PRODUCT |
|
|
TOTAL AMOUNT TO CHARGE |
EXCHANGE
RATE S/ 3.57 |
SOLES |
|
|
|
|
US
DOLLARS |
|
THE
NECESARILY INFORMATION TO REGISTER THE INFORMATION IS:
|
HOLDER CREDIT CARD NAME |
|
|
VISA CARD ACCOUNT |
|
|
|
- |
|
|
|
|
- |
|
|
|
|
- |
|
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|
- |
|
|
|
|
| EXPIRATION DATE |
MONTH |
YEAR |
|
VALID CODE |
|
|
TRANSACTION DATE |
|
|
PASSPORT NUMBER (CVC2) |
|
|
COUNTRY |
|
|
ADDRESS |
|
|
TELEPHONE/ FAX/ E-MAIL |
|
The holder of the Credit card must send us the photocopy of your Credit card (Both sides) and the photocopy of your passport.
As a signature of conformity, the HOLDER OF THE VISA CARD signs this document with date of
.....................................................................................................................
|
SIGN |
|
Telf: (51-1) 467-6554 / (51-1) 9723-9787
Fax: (51-1) 467-6554
Calle Benjamín Franklin, Mz."M", Lt.17 Urb. Santa Leonor - Lima 09 -
Lima - Perú
URL: http://rundomundo.tripod.com.pe