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					          VISA AUTOMATIC CREDIT CARD CHARGE FORM

VISA CARD NUMBER:

EXPIRATION DATE:                          MONTH                           YEAR

NAME OF CARD HOLDER:

PASSPORT NUMBER:

COUNTRY:

ADDRESS:

PHONE/FAX/E-MAIL:

TOTAL AMOUNT TO CHARGE US$:

AUTOMATIC CHARGE: The VISA CREDIT CARD HOLDER who signs this
document authorizes UNISTAR SERVICIOS AEREOS S.A.C. to charge the total
amount indicated for the corresponding travel services to the VISA Credit Card
whose number appears above.

CANCELLATION POLICY: All cancellations should be done ……… week(s) /
day(s) prior to date of the beginning of services. The penalties for cancellations
done after this period are:
   a) The cost for the first night of hotel accommodations and any other costs paid
       by UNISTAR SERVICIOS AEREOS S.A.C. and that could not be
       refundable.
   b) Administrative cost.

As sign of approval, the VISA CREDIT CARD HOLDER signs below:

SIGNATURE:

DATE:

Please fill the following form and send it through our fax (++51-1-7195777 option 4
or extension 112) accompanied with a copy of your passport and a copy of both
sides of your credit card.

                                                                                 Fono Reservas:
                                                                         Central: (51-1) 719-5777
           Emergencia 24 Hrs. Celular: (51-1) 99632-1049 (principal) / (51-1) 99861-5037 auxiliar
                                       Oficina Principal (Lima): Av. Pardo 170, piso 5, Miraflores
                                                                                     LIMA - PERU

				
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posted:8/7/2011
language:English
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