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IslandChinaVisa.com
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BOOKING INFORMATION: Airline: ______________________________________ Departure date: _______________________________ Return date: ______________________________ Where to where: ______________________________ Tourist Visa : Single Entry |_| Double Entry |_| Business Visa : Single Entry [ ] Double Entry [ ] Multiple 6 months [] China Tour [ ] PAYMENT INFORMATION: Name ____________________________________(as shown on CREDIT CARD) Credit Card Type: Visa |_| Master |_| America Express |_| Credit Card Number: ____________________________________ Expire Date: _________________ CCV Number : _________________ what is a ccv number ? Mailing Address ____________________________________ ____________________________________ Phone Number ____________________________________ Email Address ____________________________________ No. of Passports ____________________________________ Card Holder Name ____________________________________ Card Holder Signature ____________________________________ Billing Address ____________________________________ ____________________________________
I hereby authorize CanadaTravelService.com to charge my card in the amount of CAD$____________ or USD$___________ for payment of Visa and China tour Send also copy of credit card (front and back) and your ID (Driver license, Passport) to: Fax: 1-866-886-1041 Mailing address: CANADATRAVELSERVICE.com Suite 415, 1095 Mckenzie Ave Victoria BC V8P 2L5 Island China Visa is a departments of CanadaTravelService.com ALL BC Reg # 34848