CREDIT CARD AUTHORIZATION FORM

LETTER OF AUTHORIZATION TO CHARGE CREDIT CARD

I authorize MooreMarine Services & Boat Rentals to charge to the following described credit card the NON-REFUNDABLE DEPOSIT or remainder due for Rental Services ¨, Transportation ¨, Purchase of products ¨, in the amount of: US$__________________

Card Holder's Name On Card:  ______________________________________________

Credit Card Type:     _____   MasterCard          _____  Visa

Credit Card Number:  __________________________________ Exp. Date:__________

Cardholder's Contact Information, including billing address:

Street Address:   ___________________________________________________________

Suite/Apt. No.:   ___________________________________________________________

City:_____________________________________________________________________

State/Province/District: _____________________________________________________

Country:   _________________________________  Zip Code:_____________________

Billing Address Phone:  ____________________   Alternate Phone:  ________________

Billing Address Fax:  _______________________ Alternate Fax:  __________________

Email Address: _____________________________@_____________________________

Signature:_________________________________________________________________

Printed Name:   ________________________________  Date:______________________

Please Highlight and Print This Form. Your completion of this authorization form helps us to protect you, our valued customers, from credit card fraud.   All information entered on this form will be kept strictly confidential..

P.O. Box 11494 Grand Cayman KY1-1009, Cayman Islands

Telephone 916-5572, 949-6672 Facsimile 946-7772, Email: m_marine@candw.ky