CREDIT CARDHOLDER’S AUTHORIZATION

（信用 卡授權 表格）

In lieu of my credit card imprint, I 　　　　　　　　　　　　　　　　　

hereby authorize MAYOR TRAVEL

to charge my 　　　　　　　　　　　　　　　　　　　　　　　　
(Credit card name) (Credit card number) (Expiration data)

In the amount of $ for the transportation of

(Print clearly)

myself and or 　　　　　　　　

(Passenger’s full name)

for itinerary as follows:

(Complete routing)

my billing address:

Phone: home

Phone: office

Note: Identification is required. Please provide Photostat copy of the credit card

(front and back) and passport or drivers license of cardholder.

By signing below, I acknowledge charges described hereon. Payment in full to be

made when billed or in extended payments in accordance with standard policy of

company issuing card.

X
(Signature of cardholder)

Incomplete information or false statements shall be considered sufficient cause for

denial of tickets. Please fax in for faster service (212) 732-4099.