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Malaysian Association of Tour & Travel Agents (MATTA), No:11, Jalan 1/76, Desa Pandan,
55100 Kuala Lumpur, Malaysia.
 

MATTA

APEC0 - 2007

To:

MATTA (Atten: Mr Tan Choon Niap)

From:

 

 

Fax:

603-9287 6880

Tel No:

 

 

Phone:

603-9287 6881

HP No:

 

 

Re:

 

Date:

 

 
       

 

Authorization Letter

I, _____________________ (I/C or Passport No:______________) hereby authorize MATTA to charge my

VISA/MasterCard for the payment of __________________ payment of participation in APECO2007 at Terengganu,

Malaysia. All payments are subject to the participation terms and conditions. I agree that an administrative fee of RM20 is

evied for any reversal of payments/refunds if any. The details of my credit card are as follows: -

 

Cardholder’s name : ______________________________________

Card no                 : ______________________________________

Expiry date            : ______________________________________

CVV no                 : ______________________________________

Issuing Bank         : ______________________________________

*Transaction Amount : Ringgit Malaysia (RM) _________________

Contact Tel No      : ______________________________________

* Note: Price and payment in Ringgit Malaysia (RM) only

 

___________________________                                                           __________________

(Cardholder’s signatory)                                                                          (Date)