Credit Card Information (Visa, MasterCard, Amex, and Diners by mmcsx


									                               Fax: 760-438-4456

                   Credit Card Information
        (Visa, MasterCard, Amex, and Diners Accepted)

Invoices will be processed on the credit card and then mailed to the client or company
for their records.
It is necessary to accompany a clear and legible photocopy of the front and back
of the credit card listed below with this application and a photocopy of the card
holder’s driver’s license. Please initial the reservations to indicate that you have
gone over them.

Credit Card Type: __________                            Expiration Date: __________

Account Number: ______________________________________________________

Name as it Appears on Card: _____________________________________________

I authorize all charges for the attached reservation(s) to be charges to the above
credit card. I understand that gratuity and tip included in these charges and
any additional monies given too the chauffeur are above and beyond the base

Authorized Signature:

Billing Address: _______________________________________________________

City: ____________________               State: ____    Zip Code: _______________

Contact Number: ____________________Fax Number: ______________________

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