EFTA01108330.pdf

rjETSUITF 18952 MacArthur Blvd. Suite 200 Irvine. CA 92612. United States Phone +1 866 779 7770 Email: r http://wwwjetsuite.com Company: Quote Number: 9233720 Contact: Jeffrey Epstein Date Quoted: 03/17/16 Address: Phone: Aircraft: Hawker 800XP Fax: Tail #: Email: Trip Dates: 03/17/16 to 03/17/16 LEG DATE ETD DEPARTURE CITY ARRIVAL CITY PAX ETA NM EFT 1 03/17/16 08:00 PM BEDFORD. MA. (KBED) TETERBORO. NJ. (KTEB) 6 08:48 PM 158 0:48 158 0:48 Flight cost 1 @ $8.565.00/trip $8.565.00 Tax $8.565.00 @ 7.50% $642.38 Total $9,207.38 Amenities Microwave oven, Power outlet, Enclosed lavatory, DataPort, CD player, DVD player. AirShow, Video monitors, Satellite phone, Leather seats, Partial galley, Flight phone, Wi-Fi (Ground based), High Speed Internet SIGNATURE DATE Reference #9233720 JetSuite Page 1 of 2 EFTA01108330  JetSuite Phone. +1 866 779 7770 r JETS Lit-LE Fax +1 562 683 2664 Website: http./Mnwtietsuite.com PAYMENT AUTHORIZATION FORM PLEASE SELECT OPTION 1 OR V 'A credit card must be authorized for all trips. Including trips paid by wire transfer. 1) CREDIT CARD I authorize JetSuite to charge the credn card listed below in the amount agreed upon for air charier services and understand the credit card will be charged a 51 _≤, .precessing fee. excluding FET. Charges will be charged to the credit card immediately. Any additional charges payable hereunder including without limitation for catering. international fees. ground transportation. flight phone usage. overnight hangar expense. and deicing will be charged upon completion ol trip to the credit card. Any charges incurred by JetSuite at a later date. will be charged to the credit card when incurred. Customer Initial Date 2) WIRE TRANSFER Funds must be received four (4) business days before the scheduled departure. If funds are not received by such deadline. I authorize JetSuite to charge the credit card listed below in the amount agreed upon for air charter services. Charges will be charged to the credit card immediatc4y. Any additional charges payable hereunder including without limitation for catering. international fees. ground transportation. fight phone usage. overnight hangar expense. and deicing will be charged upon completion of trip to the credit card set forth below. Any charges incurred by JetSuite at a later date. will be charged to the credit card when incurred. I authorize JetSuite to charge such credit card for such additional fees. Customer Initial Date PAYMENT BY WIRE: MAILING ADDRESS: JetSuite 18952 MacArthur Blvd.. Suite 200 Irvine. CA 92612 CREDIT CARD: VISA MASTERCARD AMERICAN EXPRESS DISCOVER NAME ON CARD: CREDIT CARD NUMBER. EXPIRATION DATE: / SECURITY CODE: BILLING ADDRESS: CITY, STATE. ZIP: COUNTRY: 'Ile plosidednalcard knYbe usedlot at Moe fbolita6ons. tattoo's. incidentals. Matti ItgileSledal)dtif cmininpirepav QUOTE ACCEPTANCE: Please sign, date, and return to JetSuite. Your signature indicates your acceptance ol the above terms and conditions. Signature Date Reference #9233720 JetSuite Page 2 of 2 EFTA01108331