Author: Dr. Gheith Abandah

PAYMENT FORM

Following the submission of your Request Form, we will email to you a confirmation of your reservation. To guarantee your reservation and make your payment, please complete and return this form.

Payment Method:

	___ Credit Card			___ Bank Transfer

For credit card payment, please complete the following section:

	___ Visa			___ Master Card

I authorize Petra Travel & Tourism Co. to deduct the amount of: |
Card no: | | Expiration date: |
Numbers shown on the back of the card next to signature or CVV2: |
Billing address: |

Name of card holder and address if different from above:
Name: | | Address: |
Signature of card holder: | | Today’s date: |

For bank transfer payment, please make the payment to the following account:

Bank Account:    	Petra Travel & Tourism Co.
Bank: 		Standard Chartered Bank Ltd. 
Bank Address:	Shmeisani Branch, P. O. Box. 926190
Amman 11110 – Jordan
Account No. in USD:	01-01-2067099-02
Swift Code:  		SCBLJOAX 

* Please note that for credit card payment and/or bank transfer there is an administrative fee of 3.5% of the total amount that will be added.

**Total balance must be settled no later than Nov 30, 2011.

Petra Travel & Tourism Co. 
Fax: 	+962-6-567 19 30 or +962-6-563 91 90		Tel:  +962-6-567 19 29 or +962-6-569 00 62 
E-mail: 	event.executive@petratours.com  or  events@petratours.com 	Web Site: www.petraevents.com