Aztec Paramotors
3 Oriente 848-17 San Andres Cholula 72810
Puebla México
Credit Card Charge Acceptance Letter
Date:
(mm/dd/yy): ______________
I (card holder name):_________________________________________________________________
with phone number: __________________ and
email:_______________________________________
accept to be charged into my (Visa/Mastercard) ______________
credit card, Number: _____________________________________________
and autorization code (3 digits on the back of the credit card)
_____________
with expiration date ____________________
from the Bank (name of the card's bank)
_________________________________________________
with billing address (address of card's montly billing):_____________________________________
_________________________________________________________________________________
the ammount of $_________________ US Dollars in it's equivalent on Mexican
Pesos with the
interbank exchange rate of this day for the purchase of:
Qty Concept Price/Ammount Total
____ Propellers _______________ _____________
____ Paramotor _______________ _____________
____ Shipping Charges _______________ _____________
____ Other _______________ _____________
Grand Total in US Dollars: _____________
_____________________
Cardholder Signature
Please fax this letter to +52(222)404-9988 with
a copy of your credit card and a valid ID
In your next billing you will see this ammount reflected as AZTECPARAMOTORS