CREDIT CARD AUTHORIZATION FORM

Please fill out this credit card authorization form and fax or post it to us in Fiji.

Note: PACIFIC ISLANDS TRAVEL offers a built-in 3% discount for cash payment. All clients who pay via bank draft, personal, business or cashier's check or wire transfer receive a built-in 3% cash discount off PACIFIC ISLANDS TRAVEL'S normal price for a charter, land package or for air tickets. This 3% discount is already built into the package rates that are advertised on all of PACIFIC ISLANDS TRAVEL'S price sheets and also on the PACIFIC ISLANDS TRAVEL website. However, clients who choose payment via credit card are freely waiving this built-in 3% discount. By this waiver they will pay our normal retail price for their booking -- which is 3% higher than the special cash-discount rate advertised on PACIFIC ISLANDS TRAVEL'S price sheets & on the internet.

Name: _________________________________________________________________

Work phone: ____________________________________________________________

Fax: ___________________________________________________________________

E-mail: _________________________________________________________________

Card Type: _____________________________________________________________

Please note we only accept Visa, MasterCard and American Express

Card Number: ___________________________________________________________

Expiry Date: ____________________________________________________________

Amount US$: ___________________________________________________________
Please see note at top of page

For: Airline tickets

Hotel accommodation

Tours

Other

Charter Date ___________________________________________________________

I authorize PACIFIC ISLANDS TRAVEL to process this credit card for the amount listed above.

I understand that this credit card will be processed in Fiji in Fijian dollars.

Today's Date:___________________________________________________________

Signature:______________________________________________________________