If you wish to pay by credit card, please email the documents bellow to info@vietnamexplorer.vn 1. Copy of the page with photo of Passport. 2. Copy of the 2 sides of the credit card. 3. The credit card payment form as follows: CREDIT CARD PAYMENT FORM Beneficiary: INSERIMEX TRAVEL DANANG 21-23 Tran Hung Dao St., Danang City, Vietnam Tel: (++84.511)3951906 Fax: (++84.511) 3951907 Payer’s data: Family Name: ............................... Given Name: ................................ Address: ....................................................................................................................... City or Town: ............................... Country: ................................ Telephone: ............................... Fax: ................................ E-mail: ....................................................................................................................... Payment for Services: Name of services: ........................................................................................................................... ............................................................................................................................................................. ............................................................................................................................................................. ............................................................................................................................................................. Credit Card Information: Payment by credit Card: Visa, Amex, Master, JCB, Diners Club Credit Card Number: .............................................................................................. Credit Card Expire Date: .............................................................................................. Credit Card Holder Name: .............................................................................................. Payable Amount in US Dollars: (in figures) .............................................................................................. (in words) .............................................................................................. I hereby authorize Inserimex Travel Danang to charge the above amount to my credit card Date: ..................................... Signature of Cardholder:......................................... DOWNLOAD NOW