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First Name *

Last Name *

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I hereby authorize SITA World Tours to charge to my credit card for travel expenses in the amount indicated. The issuer of the card identified here is authorized to pay the amount shown as total upon proper presentation. I agree to pay such total subject to and in accordance with the agreement governing the use of such card.*

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I certify that I am the cardholder and a traveling passenger. By checking this box and typing my name as printed on my credit card below, I am electronically signing this authorization form.*

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Your Reservation Details

Itinerary Reference A45220

Lead Guest Richard Dean Agler

Itinerary Start Date Sun 13 Dec 2026

Destination Kenya

Amount Due

$ 3000.00