信用卡付费表中英文对照_涉外文书

payment form for credit card

　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： [ ]