Payment:  By American Express Credit Card  
              

Passenger's name : ---------------------------------------------------------

Credit Card Holder's Full Name: --------------------------------------------

Credit Card No: ----------------------------- Expiry Date: ------------------

Authorized Charge Amount (US$): --------------- Or (INR) ----------------

Credit Card Holder's Signature : -------------------------------------------

Cardholder's Billing Address: : ----------------------------------------------

Shipping Address & Phone: -------------------------------------------------

PLEASE READ CAREFULLY :
On certain offers, once confirmed and ticketed, all tickets are non - refundable
and non changeable.        

PRIME AIR GLOBAL Ltd (India / UK) and Prime Air Global Corp USA., makes every
effort to confirm reservations (per passenger request). Passengers are responsible
for all visa and passport documentation. We recommend that you recommend your
flights 72 hours prior to departure directly with the airlines. In the event of non-
reconfirmation, or Visa / Passport issues, Our office will not be responsible for denied
boarding. Once confirmed, please review your travel information for accuracy on items
such as:

1. Correct Spelling of the name(s)
2. Flight times and airlines
3. Fare paid address and account number on the same page.
4. Tour Itinerary.

If there are any discrepancies at all, YOU MUST CONTACT OUR OFFICE WITHIN 24
HOURS OF RECEIVING YOUR CONFIRMATION. If PRIME AIR GLOBAL. does not receive
a call within 24 hours, it acknowledges that the travel information received has been
reviewed and as accurate as provided at the time of confirmation. NO CHANGES WILL
BE MADE AFTER THIS GRACE PERIOD. Prime Air Global reserves the right to charge
service fee's already included in the above total. The above purchased services
(Including air tickets/tour itinerary) are non refundable - in the event of cancellation,
no monetary refunds are given - credit with the Airlines through PRIME AIR GLOBAL..
only (change or cancellation penalties will apply). The signer u.nderstands all the
stipulations, rules and conditions pertaining to the purchased tickets. This form
authorizes PRIME AIR GLOBAL to ship any travel documents to you at the provided
shipping address, the cost of which -- the negotiated discounted rates with FedEx /
Airborne Express shall be charged directly to your credit card. In the event of a request
for Regular Mail Shipping, PRIME AIR GLOBAL, or its affiliates, does not assume any
responsibility for the documents sent using Regular Mail.

---------------IMMPORTANT TICKET DELIVERY INSTRUCTIONS--------------- 

Authorized Credit Card Holder's Signature : --------------------------------
                                                                           (Please sign here)

Please fax or e-mail this form back to the applicable office

This form is necessary to protect you and our agency against credit card fraud.
We thank you for your cooperation and business .