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PAYMENT FORM FOR CREDIT CARD (来源:EnglishCN英语问答中心[e问e答])

  为支付会议费用,我愿意用以下信用卡支付:□ Visa信用卡 □ 美国运通卡 □ 万事达卡(信用卡用人民币支付并且将在卡中扣除4%的手续费)

  I would like to make the payment for the conference by □ Visa □ American Express  □ Master Card (payment by Credit Cards will be charged in RMB and 4% service fee more will be charged by banks from your card)

  信用卡号码:                                    有效期限:

  信用卡用户名:

  Credit Card No.:                                                        Expiry Date:

  Name on Card:

  我同意从我信用卡中向CAS的国际科学交流中心支付[ ]美元,并由中国银行附加4%的手续费。我已经随信寄出我信用卡双面的清晰复印件。

  I consent to the Center for International Scientific Exchanges, CAS debiting my credit card account with the amount of US$ [ ] and the Bank of China is to charge 4% service fee in addition to this amount. I have also sent a clear copy of both sides of the credit card to you along with this form.

  签名: [ ] (应和信用卡上名字一致)

  Signature: [ ] (should be the same with that on the card)

  日期:

  Date

  注:

  以上是由[ ]博士支付Note:

  The payment above is made for Dr. [ ]

  通讯地址:[ ]女士

  国际科学交流中心,CAS

  ICEC20秘书处

  中国北京三立和路52号,邮编:100864

  电话:[ ];

  传真:[ ]

  电子邮件:[ ] Correspondence:

  Ms. [ ] Center for International Scientific Exchanges, CAS

  Secretariat of ICEC20 52

  Sanlihe Rd., Beijing 100864, China

  Tel: [ ];

  Fax: [ ]

  Email: [ ]

 
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