Card Holders name and address
( Your Address must be the same as Billing address recorded into Credit Company )

To,
Nisha's Glamoursoft
Paper BoxHouse. Mahakali Caves Road. Andheri- East
Post Box No. 9434. Bombay - 400 093
( India ) 

Date:-____________

Dear Sir,



Amount [] US $ _______ or  [] Rupee ___________

(In figure                            ).

I authriozed you to charge / debit into my credit card a/c, details of which are as under:-

Card No : ______________________________________________________

Expiry Date :  ___________________________________________________

Card Holder's Name :  ____________________________________________

Amount : ______________________________________________


Thanking You

Yours Faithfully


(Signature of Card Holder)


Also send us the additional information along with the above letter.


Name :

Passport Number :

Home Phone Number :

Billing Address :

Social Security Number :

Mother's Maiden Name :

Colour of the Card :

Bank Name on the Card :

Name of the joint account Holder :

Date of Birth :

Account held Since :

Note:
Kindly fax us the above letter on your personal
letterhead on fax Number (91-22-8215249 or 6234528 )