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                  ASIA TRAVEL - CREDIT CARD PAYMENT 

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Attn:	JONES F. MANDIADI		 Fax No. (63-32) 341-2036

     Sales and Reservation Division



This is to authorise AT Phil, Inc. to debit 

the amount of  **AMOUNT IN WORDS** (US$/PhP AMOUNT)

against my Visa/MasterCard as payment for my flight reservation.





IMPORTANT:

(VISA/MASTERCARD) 



MY CREDIT CARD DETAILS ARE AS FOLLOWS:



a. Name printed on card:__________________________________



b. Credit Card Number: ___________________________________



c. Expiry date: ________________



d. Type of Card: MasterCard[] Visa[] 



e. Billing address : ________________________________________________



_____________________________________________________________________



f. Telephone number/ Email address : ________________________________



IMPORTANT

For American Express - Batch Code (the 4-digit number found on the upper 

right corner of your card. These are the one that's printed and not embossed).

Batch Code:_________________________







.........................                 .....................

 SIGNATURE OF CARDHOLDER                      	  DATED



*Amount above quoted is VAT exclusive.



Note: Please be advised that there is a 5.5% Credit Card processing 

      charge or penalty for Credit Card purchases  cancelled after 

      1 day from transaction.





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    Please note that the Cebu office of the credit card companies

    require these information to successfully process your payment.

    Please fill up all the spaces provided. Thank you.

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