Credit Card Charge Authorization
Please obtain cardholder's signature on this form and return with copy of the cardholder's
driver's license or other proof of signature in order to verify authorization.

In consideration of Learning Through Travel, Inc. accepting my credit card in lieu of cash, I agree to be responsible for the payment for the ticket(s), services or other purchases indicated below, whether I decide to use these services or not, I will not place a "STOP PAYMENT" order on my credit card tendered as payment for such services. If I decide not to use the services, I acknowledge that I, and not the Travel Agency, will be responsible for any penalties due to my purchases. I hereby authorize Learning Through Travel, Inc. to charge my credit card for travel expenses in the amount listed below. The issuer of this card is authorized to pay the amount shown upon proper presentation. I agree to pay such amount (together with any other charges due thereon) subject to, and in accordance with, the agreement governing the use of such card.

PLEASE PRINT CLEARLY. COMPLETE ALL BLANKS, SIGN AND RETURN
This is to authorize Learning Through Travel, Inc. the use of Credit Card listed below.
Fax complete copy to Learning Through Travel (516) 781-5557 with copy of both sides of credit card and second proof of signature.

The original copy of the charge authorization form and signature must be mailed to
Learning Through Travel and received before documents can be released.

Note: Learning Through Travel will obtain the authorization code. Improperly filled out
Charge Form may result in delay of documents being sent out.
"NO SIGNATURE ON FILE" CHARGES ACCEPTED!