Eastern Journeys

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 Adress:

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 on info@easternjourneys.com

Office Use:
Authorization Code:	Authorization Date: