To: Eastern Journeys Limited
   The 5th Floor, Anton Building,
 No. 1 Anton Street,
 Wanchai,
 Hong Kong SAR, China
  Tel: + 852 2544 5488 Fax: + 852 2544 5489

I certify that all information is complete and accurate and I authorize Eastern Journeys Limited to collect the charges shown below by processing a charge to the credit card shown below.

Note: Your credit card will be charged in Hong Kong $ and will be charged at the prevailing exchange rate on the day of the charge being made. There is thus a possibility, as a result of fluctuations in exchange rates, that the amount charged may slightly differ from the amount that has been invoiced.

Credit Card: please indicate card type:Mastercard Visa
Amount in US$:
Card Issuing Bank:
Card Number:
Card Expiry Date:
Cardholder's Name (as shown on card):
Cardholder's Address:
Telephone:
Fax:
Cardholder's Signature:

Please return this form to us along with a copy of both sides of your credit card

Either:

Fax to us on + 852 2544 5489
Or: Scan and e-mail to us at info@easternjourneys.com

Office Use:

Authorization Code: Authorization Date: