ANNEX 1

Me, the undersigned, I have read, understood and agreed to the terms and conditions set in the cooperation agreement signed with TRAVEL ASSOCIATES S.R.L., I authorize TRAVEL ASSOCIATES S.R.L. in Bucharest - Romania to charge any of my credit card(s) mentioned below with reference to the service(s) booked with TRAVEL ASSOCIATES S.R.L. In case of late cancellations or no-shows, I agree to pay the necessary cancellation charges as applied from the hotel/supplier.

Credit Card Type 1: Credit Card Number: Expiration Date: Card Holder Name: Card Information: Issuing Bank Name: Country: Credit Card Type 2: Credit Card Number: Expiration Date: Card Holder Name: Card Information: Issuing Bank Name: Country: Credit Card Type 3: Credit Card Number: Expiration Date: Card Holder Name: Card Information: Issuing Bank Name: Country: Credit Card Type 4: Credit Card Number: Expiration Date: Card Holder Name: Card Information: Issuing Bank Name: Country:

( VISA ( MasterCard ______________________________________ _____/_____ (MM / YYYY month / year) ______________________________________ ( Business Card ( Personal Card ______________________________________ _______________ Card Holder Signature: ( VISA ( MasterCard ______________________________________ _____/_____ (MM / YYYY month / year) ______________________________________ ( Business Card ( Personal Card ______________________________________ _______________ Card Holder Signature: ( VISA ( MasterCard ______________________________________ _____/_____ (MM / YYYY month / year) ______________________________________ ( Business Card ( Personal Card ______________________________________ _______________ Card Holder Signature: ( VISA ( MasterCard ______________________________________ _____/_____ (MM / YYYY month / year) ______________________________________ ( Business Card ( Personal Card ______________________________________ _______________ Card Holder Signature:

(do NOT use spaces or dashes) CVC2/CVV2 Code*: _________ (exactly as printed on the card)

__________________________ (do NOT use spaces or dashes) CVC2/CVV2 Code*: _________ (exactly as printed on the card)

__________________________ (do NOT use spaces or dashes) CVC2/CVV2 Code*: _________ (exactly as printed on the card)

__________________________ (do NOT use spaces or dashes) CVC2/CVV2 Code*: _________ (exactly as printed on the card)

__________________________

*The Card Validation Code / Card Verification Value is a three-digit code printed on the back of your Credit Card. It appears at the top right corner, far right from the card number. The CVC2 code helps validate you as a legitimate cardholder. This increases our commitment to protect our customers from fraud and reduces our exposure to fraud. Notes: To validate the above credit card(s), please send us the following documents via email at payments@travel-associates.eu or via fax at +40 21 3212553 (it is better to be scanned and sent via email): 1) A clear copy of each credit card (both sides) and 2) A clear copy of the Passport or ID (both sides) of the credit card holder(s).

Signed and stamped for and on behalf of: Company Name: Name & Surname: Position Held:

Date: ____/____/2013 Stamp & Signature: => ______________________

_____________________________________________________________________ 13A, Motilor Street, Tronson B, Floor 10, Apt.73, Sector 3, 031521, Bucharest, Romania VAT/TAX No.: RO 25784124, Registration No.: J40/7952/2009, www.travel-associates.eu Phone: (+40) 21 3202013 - Fax: (+40) 21 3212553, - E-mail: sales@travel-associates.eu