In lieu of my credit imprint, I ____________________ hereby authorize Jamaica Tours to charge my ____________________ card number _________________, Expiration date __________.

In the amount of $_________ for payment of transportation of myself and/or

______________________________________________

(Full name of passenger and write more on side if needed

______________________________________________

Passenger 2, etc.

My billing address___________________ Home Phone: ____________

___________________ Work Phone: ____________

Note identification is required. Please provide Photostat copy of the credit card (front and back) and passport or driver's license of cardholder.

By signing below, I acknowledge charges described hereon. Payment in full to be made when billed or in extended payment in accordance with standard policy of company issuing card.

___________________________

Signature of cardholder

This form must be submitted to our agency ticket office prior to ticket issuance. Incomplete or false statements shall be considered sufficient cause for denial of ticket.