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Hello!!! ¿Which Credit Card will you use?

- VISA

- AMERICAN EXPRESS

- MASTER CARD

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


AUTHORIZATION VISA CREDIT CARD FORM

 

DATE:

Miraflores, .................................  

 

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.

DESCRIPTION OF THE PRODUCT

 

 

 

TOTAL AMOUNT TO CHARGE

EXCHANGE RATE    S/ 3.57

SOLES

 

 

  US$1 = S/3.57

US DOLLARS

 

 

THE NECESARILY INFORMATION TO REGISTER THE INFORMATION IS:

 

HOLDER CREDIT CARD NAME

 

 

VISA CARD ACCOUNT

 

 

 

-

 

 

 

 

-

 

 

 

 

-

 

 

 

-

 

 

 

 

   

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

 

 

 

 

 

 

Calle Benjamín Franklin, Mz."M", Lt.17 Urb. Santa Leonor - Lima 09 - Lima - Perú / Tele Fax: (51-1) 467-6554

 

Back


AUTHORIZATION AMERICAN EXPRESS CREDIT CARD FORM

 

DATE:

Miraflores, .................................  

 

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$1 = S/3.57

US DOLLARS

 

 

THE NECESARILY INFORMATION TO REGISTER THE INFORMATION IS:

 

HOLDER CREDIT CARD NAME

 

 

VISA CARD ACCOUNT

 

 

 

-

 

 

 

 

-

 

 

 

 

-

 

 

 

-

 

 

 

 

   

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

 

 

 

 

 

 

Calle Benjamín Franklin, Mz."M", Lt.17 Urb. Santa Leonor - Lima 09 - Lima - Perú / Tele Fax: (51-1) 467-6554

 

Back


AUTHORIZATION MASTER CARD CREDIT CARD FORM

 

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$1 = S/3.57

US DOLLARS

 

 

THE NECESARILY INFORMATION TO REGISTER THE INFORMATION IS:

 

HOLDER CREDIT CARD NAME

 

 

VISA CARD ACCOUNT

 

 

 

-

 

 

 

 

-

 

 

 

 

-

 

 

 

-

 

 

 

 

   

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

 

 

 

 

 

 

Calle Benjamín Franklin, Mz."M", Lt.17 Urb. Santa Leonor - Lima 09 - Lima - Perú / Tele Fax: (51-1) 467-6554

 

Back

 


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