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CREDIT CARD AUTHORIZATION FORM

TerraMar Travel, Inc.

133 N. Buena Vista St #4 Hemet CA 92543 (951) 929-0033 (951) 658-9593 fax

I authorize TerraMar Travel, Inc. to charge my credit card below for Agent
Application fees of $450.00 for Primary Agent Affiliation with TerraMar Travel
Type of Card

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