NAME OF CARD HOLDER:_____________________________________________________________________________

ADDRESS: _____________________________________________________________________________________

_____________________________________________________________________________________

TELEPHONE NUMBER: (HOME): (______)______-__________ (OFFICE): (_____)_______-________________

CREDIT CARD NUMBER:________________________________________ EXP. DATE: ___/___/_____  

AMOUNT: _____________________________ CREDIT CARD APPROVAL CODE:______________

For payment of transportation for myself AND/OR:________________________________________

______________________________________________________________________________________________

ITINERARY INFORMATION:_________________________________________________________________________________

DELIVERY OPTIONS (please choose one):  Priority (default) $0  ;  Next-Day Service $12  ;                                Saturday Service $22

I hereby authorize Sunworld Travels, Inc., to charge the above amounts on the Credit Card presented below. I also undertake to indemnify Sunworld Travels, Inc., or their Principals/Wholesellers/Airlines for any amounts due. I shall not decline, reject, or challenge amount charged for the purpose of paying for travel for the passengers mentioned above. I am aware that some restrictions may apply to the tickets I am purchasing and satisfied that such restrictions have been explained to me. I also undertake to reimburse for any collection costs in any case of dispute.  I also acknowledge that discount International Airline tickets are NON-REFUNDABLE AND NON-TRANSFERABLE.

SIGNATURE OF THE CREDIT CARD HOLDER:______________________________________ DATE:__/__/____