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 Phone: 91-22-8219665, 8327092 FAX: 8215249 ( 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 : Home Phone Number : Billing Address : Colour of the Card : Bank Name on the Card : Note: Kindly fax us the above letter on your personal letterhead on fax Number (91-22-8215249 or 91-22- 6234528 )