CARDHOLDER AUTHORIZATION FORM

I,_________________________________________authorize______________________________________
                                                                                                                                                     (Company)

to charge the amount of ($)___________________ for the following services:___________________________

to my (please tick): _______Visa, _______Mastercard, ________Amex, _______Diners/Enroute, _____Discover:

Card #____________________________ Expiry date:___________Cardholder

Signature:_______________________Date:_________

I/we are aware of and accept any cancellation policies and agree not to dispute or attempt to Chargeback any of the above signed for and acknowledged charges. For your convenience, this signature will be kept on file with our agency and the acceptance of the Terms and Conditions are applicable and binding for all subsequent booking with Golden Fish.

______________
(Cardholder initial)