CREDIT CARD HOLDER'S AUTHORIZATION

In lieu of my credit card imprint, I, ---------------------------------------------------------------
                                                (Name of cardholder as shown on credit card)

Hereby authorize CYRUS TRAVEL acting on behalf of (Carrier Name) -------------------------------------

to charge my: Visa, MasterCard, American Express___-------------------------------------___-----------
                       (Circle One)                    (Credit card Number)                (Expiration)

in the amount of $ -------------------for payment of transportation of myself and /or

------------------------------------------------------------------------------------------------------
                     ( Name (s) of Passenger (s) if other than cardholder.)

for itinerary as foll-s: -----------------------------------------------------------------------------
                                             (Complete Routing)

My Billing Address:-----------------------------------------------------------------------------------

Phone: (Home)------------------------------------- (Work)---------------------------------------------

Note: Identification is required. Please Provide Photostat copy of the credit card (Front & Back) and Passport  or Driver licenses 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.
I also acknowledge that there will be $ 30.00 service fee in addition to the airline
penalty if I return the ticket(s) for refund or cancellation.

----------------------------------------- ------------------------------------------ -------------
Signature of cardholder                         Please print cardholder name              Date

TRAVEL AGENCY VALIDATION:-------------------------------------------------------

TRAVEL AGENT?S NAME: -----------------------------------------------------------

Should any default or payment dispute arise, the above travel agent will pay for the
purchase ticket and settle the payment directly with the cardholder. In case of any
litigation, the above travel agent will also be responsible for any legal fees incurred.

For CYRUS TRAVEL Accounting use only: Date: -----------------

Invoice number:----------------------------------------------