Credit Card Authorization Form

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Cardholder's Name:____________________________________________________

Home Address:________________________________________________________

                            Country:_______________________ Zip Code:________________

I hereby authorize Songhan Travel   to debit :

Amount (USD):  (____________________________________)

Amount in Word:_______________________________________________(USD)

against  my Credit Card , details of which are listed below :

                                     Visa Card (     )      Master Card   (     )     

Card Number: (_______________________________), Expire on:(____________)

                                                                                                                                    Month/ Year

For   Services:________________________________________________________

                    ________________________________________________________

                                                              

   Signature of Cardholder:_____________________

Date:_____________________

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*******IMPORTANT******

PLEASE KINDLY FAX THIS FORM TO THE HEAD OFFICE OF   SONGHAN TRAVEL AT FAX NO: (84-511) 690694 .

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