American Express Company TRAVELERS CHEQUE RECORD-TO BE KEPT SEPARATE FROM THE CHEQUES NOTICE! TO TRAVELERS CHEQUE PURCHASER Sign each Cheque at the time of purchase, but countersign Cheques only in the presence of payer, when presenting for encashment. Enter on this form information regarding encashment of Cheques, as called for on pages 2, 3 and 4. Guard these Cheques against loss or theft, but if you should lose them, telegraph immediately numbers (if unable to give numbers, state name and address of bank or office where purchased and date purchased), of lost Cheques to nearest American Express System office (New York, London, Paris, Buenos Aires, Hong Kong or Bombay) ; notify also local office or correspondent of American Express System or nearest office of American Railway Express Company. Refund for Cheques reported lost or stolen will be made when investigation proves to the American Express Company that the purchaser took reasonable precautions to safeguard and did not voluntarily part with Cheques. The American Express Company Travel Department sells tickets, conducts tours and outlines itineraries. Please feel free to use this service. Form 1722-7-25 Printed in U.S.A.