CHUBASCO CHARTERS P. O. Box N-4344 Nassau, Bahamas Tel. 242-324-3474  -  Fax 242-364-1612 e-mail - chubasco@coralwave.com Credit Card Authorization Form Name (as appears on Credit Card):  _______________________________ Billing address of Credit Card:  ___________________________________ _______________________________Tel:__________________________ E-Mail address: _______________________________________________ Credit Card Type: (circle) MasterCard - Visa - Discover - American Express Credit Card Number: _________________________________Exp. ______ Total amount of payment authorized:________________________________ Authorized for: (service and date) _________________________________ th I the undersigned Customer acknowledge that I have read and understand Chubasco Charters cancellation policy and authorize them to bill my credit card for the above amount in the event I do not cancel in the required time frame.    Date:__________________ Signature: _____________________________ To confirm your charter, please print and fill out this form and fax it to us. Fax: (242) 364-1612.  Please book charter via telephone or e-mail before sending us this form. If you do not receive confirmation within 24 hours of faxing this form please contact us.