I authorize LUFRAN INTERNATIONAL to charge my Credit Card from: Visa MC Amex (Visa, MC, Amex) circle one

Credit Card number:

Expiration CVV #:

Credit Card Billing Address:

ZIP CODE:

I authorize that all charges are subject to weight and measure verification. Should the weight and volume exceed the original estimate I authorize the charges to be amended accordingly. Likewise, if the charges are less than the tendered weight and measure, a credit will be issued. I acknowledge that I am the authorized user of the above credit card account. I authorize the use of the above credit card account by LUFRAN INTERNATIONAL, a Federally licensed air and ocean carrier, in payment of its invoice.

I acknowledge and understand that the above-referenced is for services rendered on my behalf and at my request by LUFRAN INTERNATIONAL. I acknowledge that, by providing this service, LUFRAN INTERNATIONAL has met its obligations for the above charge. I acknowledge that this agreement may be cancelled if cargo has not been tendered to the carrier and I agree to pay a penalty of 5% to cover transaction fees. If cargo is already tendered to the carrier, I acknowledge that this agreement may not be cancelled.

* I am enclosing copies of my credit card front and back and a picture ID. *

Destination port charges, duties and or taxes are not included. I acknowledge that I have read and received a complete and signed copy of this agreement and of each and every document I have signed including the terms and conditions specified in our air and ocean bills of lading.

QUOTE # AMOUNT TO BE CHARGED $: + processing fee 3%

I have read and agree to all the terms and conditions.

Signature of Cardholder:

Date: