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EFTA00296817

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HeIiNY.com Helicopter Flight Services, Inc. CREDIT CARD AUTHORIZATION FORM Date July 31, 2013 Number of Pages 2 To: Mr. Jeffrey Epstein Co: Email: Phone: Fax: From: Riptinder Singh Helico • ter Fli. ht Services, Inc. Email: Phone: Fax: Reservation Number: 196028 Date of Flight: July 31, 2013 Day of flight: Wednesday Number of Passengers: 2 Time of Flight: 3:00pm Flight Description: E34th Street Heliport (6N5) Long Island Mac Arthur Airport (ISP) 4 Wait 45min 4 E34th Street Heliport (6N5) Cancellation Policy: • Refunds will not be given if HFS receives less than 4 hours notice of a cancelled flight. • 20% cancellation fee for the flights cancelled more than 4hrs but less than 24hrs. • Refunds are not given if you do not call to cancel your flight or do not show up for your flight. • Discounts/Refunds will not be honored once the flight is completed. • HFS will notify the passengers as soon as possible, if there is a weather cancellation. • $300 per hour charge (Pro rated) for any wait beyond the scheduled departure time. • $250 early/late operation heliport fee applies if the flight lands/departs NYC heliports: a. Before 7:00am Mon-Fri & 11:00am Sat-Sun. b. After 7:00pm Mon-Sun. • $200 early/late pilot fee applies if the pilot departs/returns its base (LDJ): c. Before 8:30am Mon-Sun. d. After 7:00pm Mon-Sun. _a g alr• 144e • Cancellation charges will be charged to the credit card # provided. r Please complete, sign and return by fax the Credit Card Authorization Form alon (front & back) of your credit card. Helicopter Flight Services, Inc. Downtown Manhattan Heliport Pier 6 and the East River New York, NY 10004 Phone: , Fax: Email: EFTA00296817

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