CREDIT CARD
AUTHORIZATION FORM
For my convenience, I am authorizing Mr. LIMO, Executive Town Car Service, Steve K and Jerry LIMO to execute transactions for transportation services on my:
(Circle One)
American Express Credit Card
MasterCard Visa Credit Card
Transactions executed on my behalf will read "Signature on File" on the signature line of the credit card voucher. By executing this document, it will not be necessary for me to sign each credit card voucher
Name as it Appears on the Card _________________________________________
My credit card # is ____________________________________________________
Exp. (MM/YY) _________________
Signature of Cardholder-(sign) __________________________________________
Please Print __________________________________________________________
Date of execution of this form ________________________________________________
Name of the Passenger _________________________________________________
Email Address ________________________________________________________
This authorization is valid until Mr. LIMO or Executive Town Car Service receives written notice of cancellation. (copy credit card front and back here and fax this form to: call 415-474-8070 number being changed.)
I also understand that a $100 non-refundable deposit is required on all stretch limo charters 3 hours or longer.