Payment method (2)
Pay by credit card
by filling the following form and
send to Alice Lee through email.
Type of Card
□Visa
□Master Card
□JCB
Credit card number
Last 3 digit on
backside of card
Valid Period
Valid from: □□Month/□□Yr
Valid Thru: □□Mon
th/□□Yr
Authorization Code
Leave blank
Pay to
CMPUGTW
台灣平坦化應用技術協會
Transaction Date
Item
For example:
3 days registration, or single day registration
Amount
Name
Affiliation
TEL
Email
(must be the
same email of
registration)
I her
eby agree
to pay the bill
to CMPUGTW
by
Credit Card
through
issuing this letter of
authorization.
Signature:
Email: To:
alice@mail.ntust.edu.tw
o r F a x: + 8 8 6
-
2
-
2 7 3 7 6 4 6 0, A t t n t o: Al i c e L e e
Enter the password to open this PDF file:
File name:
-
File size:
-
Title:
-
Author:
-
Subject:
-
Keywords:
-
Creation Date:
-
Modification Date:
-
Creator:
-
PDF Producer:
-
PDF Version:
-
Page Count:
-
Preparing document for printing…
0%
Σχόλια 0
Συνδεθείτε για να κοινοποιήσετε σχόλιο