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,
and/or Background check fee of $45.