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