Helicopter Flight Services, Inc. CREDIT CARD AUTHORIZATION FORM I hereby authorize HELICOPTER FLIGHT SERVICES. INC. to execute charges to the following card: Credit Card Type ifs r EJ2PY E ia 5 76-)r-/ Narpe as it annpars nn thp card Credit mber Securi Expiration Date Billing Address of Credit Card: 9 sew' ?lot svnz66-r ezu h--/ Y /coat/ Please complete, sign and return by fax the Credit Card Authorization Form along with a copy (front & back) of your credit card. Accepted Charge: $2,820.00 Reservation Number: J 196028 I understand that all charges made upon this authorization shall be known to me in advance & I accept the above mentioned amount for the Helicopter Charter Flight. ZSrgnature 0 771//iti a Irate • Helicopter Flight Flight Services, Inc. Downtowrialsatagjilegjort Pi&rLicALbsfaut River Phone: Fax: Ern EFTA00313215