TRAVELSMART.NET CREDIT CARD GUARANTEE FORM This portion to be filled in by Travel Agent Only. ATTENTION: Establishment Number:__________ Approval Code: _______ Name of Approving Officer: _________ ATTENTION: Reservations Officer: ________________ Fax: +63-2-896-4678 (Philippines) This is to authorize IDEAWELL CORP. to debit the total amount of ____________________________________________________________________ (exact amount in words) USD _________ against my credit card as payment for my reservation described below: (PLEASE FILL UP THE BOX BELOW) -------------------------------------------------------------------- | | | | | | | | | | | | | | | | | | | | --------------------------------------------------------------------- MY CREDIT CARD DETAILS ARE AS FOLLOWS: Complet Name: __________________________________________________________ First 4-Digit Credit Card Number: ___________ Last 4-Digit Credit Card Number: ____________ Expiry Date: ___________________________________________________________________ Issuing Bank: __________________________________________________________________ Type of Card: (PLEASE CHECK)|__| VISA |__| MASTERCARD |__| Amexco |__| Discover Billing Address: _______________________________________________________________ Passport Number: _________________________________________ Birthdate: _______________________________________________ *Passport Number will be used as a proof of your identification as required by our approving bank. ___________________________________________ Authorized Signature of Guest (same as in credit card) Please include photocopy of your passport or any valid ID. Please fax back completed form to Ideawell Corp./TravelSmart.NET at +63-2-896-4678. After we receive your completed form, we will send you an email with a link to enter all your credit card information directly to the payment gateway provider. They will directly process your credit card and send us confirmation. Through this procedure, you never reveal your credit card number to Ideawell Corp./TravelSmart.NET. *************************** Should you need further assistance, please do not hesitate to email us. Thank you for using TravelSmart.NET! Sincerely, TravelSmart.NET Customer Support Email: support@travelsmart.net