Montego Bay Limousine: Credit Card Authorization Form

Credit Card Authorization Form

I ________________________________ hereby authorize Montego Bay Limousine to charge my credit card (Enter card type ex. Visa, MasterCard, Amex.) _____________ card number __________________________ expiration date ________ for the sum of $________ for _____ hours of limousine service.

I ________________________________ hereby fully understand that if I should utilize the service for more than the hours indicated above that I will be charged for each additional hour as per the hourly rate booked.

Authorized Signature ________________________________ Date ___________
Home Address: ____________________________________________________________
Credit Card Address (if different) _______________________________________________
Phone #s (H) __________________ (W) __________________ (C) ___________________

Driver's License # __________________________

Please fax or email a copy of your driver's license and both sides of your credit card along with this completed credit card authorization form.

I declare that all of the above information is correct...
Print Name __________________________
Authorized Signature _____________________________ Date _____________


From: ___________________________ Fax: ____________________________ Phone: __________________________		To: Montego Bay Limousine Fax: 718-882-4879 Phone: 718-881-4290 Email: info@montegobaylimo.com
Credit Card Authorization Form I ________________________________ hereby authorize Montego Bay Limousine to charge my credit card (Enter card type ex. Visa, MasterCard, Amex.) _____________ card number __________________________ expiration date ________ for the sum of $________ for _____ hours of limousine service. I ________________________________ hereby fully understand that if I should utilize the service for more than the hours indicated above that I will be charged for each additional hour as per the hourly rate booked. Authorized Signature ________________________________ Date ___________ Home Address: ____________________________________________________________ Credit Card Address (if different) _______________________________________________ Phone #s (H) __________________ (W) __________________ (C) ___________________ Driver's License # __________________________ Please fax or email a copy of your driver's license and both sides of your credit card along with this completed credit card authorization form. I declare that all of the above information is correct... Print Name __________________________ Authorized Signature _____________________________ Date _____________
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