<p> CREDIT CARD AUTHORIZATION FORM</p><p>______, hereinafter called “Client” and Travel Planners, hereinafter called “Contractor” in consideration of their mutual promise agree as follow: PAYMENT BY CREDIT CARD – Client agrees to pay by credit card for all purchases from Contractor. Contractor currently accepts American Express, MasterCard and Visa. The person signing for such credit card account as indicated below hereby authorizes Contractor to charge to said card all airlines tickets/ tour packages/ or cruise payments issued by Contractor as requested by Client and it’s authorized employees and agents.</p><p>FOR COMPLETION BY CLIENT</p><p>CLIENT NAME: ______(Full name as shown on passport or Government issued ID) ADDRESS: ______</p><p>______TELEPHONE : ______CELL:______EMAIL ADDRESS: ______TRAVELER’S DATE OF BIRTH (MM/DD/YY):______TRAVELER’S GENDER: ______MALE______FEMALE TRAVELER’S PASSPORT NUMBER: ______EXP. DATE:______NATIONALITY: ______</p><p>AUTHORIZING SIGNATURE: ______NAME: ______(PRINTED) DATE:______</p><p>FOR THE COMPLETION BY CARD HOLDER I hereby authorize Travel Planners employees and agents the signing of any documents necessary to purchase airline tickets, tour packages/ cruise payments or any other related items on my behalf or on the behalf of the Client specified above, and to charge these purchases to my credit card below</p><p>CREDIT CARD TYPE: ______CC #______EXP. DATE: _____/_____ CARD HOLDER’S NAME: ______SEC.V-CODE: ______CARD HOLDER’S SIGNATURE: ______DATE:____/_____/____ BILLING ADDRESS: ______CARD HOLDER’S PHONE:______EMAIL:______CARD HOLDER’S PASSPORT #:______EXP.DATE:______NATIONALITY______</p><p>Please attach copies of credit card front and back and a copy of the card holder’s valid passport, drivers license or other government issued ID Effective May 01, 2009 – The USA Department of Homeland Security requires that passport or govt. ID info, gender and date of birth must be provided in all travel reservations</p><p>TRAVEL PLANNERS, C.A. CANNEGIETER STREET # 129, PHILIPSBURG AND CINETA BLDG # 2 SIMPSON BAY, ST.MAARTEN TEL: 1721 54 25022/ 1721 54 53980 FAX: 1721 5431109 / 1721 54 53981 EMAIL: [email protected] </p>