信用卡签帐单英文版

TaipeiCity10699Taiwan(R.O.C)InternationalConferenceofBi2O3-basedIonicMaterialsforEnergyApplication(BMEA2010)MerchantNo004-00988499-1001Authorizationnumber(Merchantusedonly)Creditcardtype□VISACARD□MASTERCARDValidPeriodLast3digitofcardnumberCardNoTransactionDateAmount(O)MobilephoneNote:1.Thecardholderneedstoensurethecreditcardinformationfilledoutaboveiscorrectandcomplete2.Thecardholdershouldfollowtheagreementofcreditcard.Onceconfirmigthepaymentforthepurchase,thecardholdershouldpaythefullamountstothecardissuer3.Ifthetransactionisnotapprovedbytheissuingbank,thebillbecomesinvalidautomatically.Thiswillleadtore-chargethecardholderorparticipantoftheevent.□□□□-□□□□-□□□□-□□□□TEL(Mustfill)Namethatappearsoncard　SignatureSameSignatureonyourcardTaiwanCeramicSocietyMailingaddress：P.OBOX13-133TaipeiTEL:886-2-2363-1767FAX:[phone]PleasereplytoFax:886-2-2363-1767orE-mail:[e-mail]editcardpayment:CardIssuingTaipeiCity10699Taiwan(R.O.C)InternationalConferenceofBi2O3-basedIonicMaterialsforEnergyApplication(BMEA2010)□MASTERCARDUS$Note:1.Thecardholderneedstoensurethecreditcardinformationfilledoutaboveiscorrectandcomplete2.Thecardholdershouldfollowtheagreementofcreditcard.Onceconfirmigthepaymentforthepurchase,thecardholdershouldpaythefullamountstothecardissuer3.Ifthetransactionisnotapprovedbytheissuingbank,thebillbecomesinvalidautomatically.Thiswillleadtore-chargethecardholderorparticipantoftheevent.□□□□-□□□□-□□□□-□□□□SameSignatureonyourcardTaiwanCeramicSocietyMailingaddress：P.OBOX13-133TaipeiTEL:886-2-2363-1767FAX:[phone]PleasereplytoFax:886-2-2363-1767orE-mail:[e-mail]editcardpayment: