100 Park Avenue, 16th Floor
ETIHAD
                                                New York,AIRWAYS
                                                          NY 10017
                             PHONE: (212) 984-1874 - FAX: (212) 984-1873
                                        E-mail: NYCTKT@ETIHAD.AE
                                          www.etihadairways.com
                       CREDIT CARD AUTHORIZATION FORM
I, ______________________________, the under signed resident of _______________________;
Billing Address:________________________________________________________________;
Delivery Address:______________________________________________________________;
Phone:___________________________
On this________________day of__________ give full authorization to ETIHAD AIRWAYS
to charge on my credit card the following are all the pertinent information in connection to this charge:
          AMERICAN EXPRESS:____________________________EXP:_________________
      TOTAL AMOUNT:_____________________________________________________
                    (Amount includes all applicable airline taxes and service charges.)
FOR THE PURCHASE OF THE FOLLOWING AIRLINE TICKET(S):
        ITINERARY:_________________________________________________________
        NAME OF PASSENGER(S):_____________________________________________
                                       _____________________________________________
                                       _____________________________________________
                                       _____________________________________________
FULL NAME OF CARDHOLDER:________________________________________
SIGNATURE OF CARDHOLDER:___________________________DATE:_______
PLEASE COMPLETE ALL ITEMS & ATTACH A COPY OF YOUR CREDIT CARD
AND A PHOTO I.D.
NOTE: CARDHOLDER ACKNOWLEDGES RECEIPT OF GOODS AND/OR SERVICE IN THE AMOUNT OF THE TOTAL SHOWN HEREON,
          FURTHERMORE IS FULLY AWARE OF ALL APPLICABLE RESTRICTIONS AND/OR PENALTIES AS SHOWN ON SUCH TICKETS
          CARDHOLDERS/PASSENGERS ARE RESPONSIBLE TO INSPECT MERCHANDISE FOR ACCURACY AND FOR ANY CORRECTIONS.
          CARDHOLDERS/PASSENGERS ARE RESPONSIBLE FOR ALL TRAVEL GOVERNMENTAL REQUIREMENTS (ENTRY VISA, IMMUNIZATION, ETC.)
                             THANK YOU FOR CHOOSING ETIHAD AIRWAYS.