A 2 Z Limousine Credit Card Authorization Form

A 2 Z Limousine Inc:
Credit Card Authorization Form

Please complete the Credit Card Authorization Sheet below and fax it back to our office: (954)678-9186. This will allow A 2 Z Limousine, Inc. to run your credit card for any transportationservices that we provide for: ____________________________________.

I Authorize my credit card to be billed as follows:

Credit Card Type: _____Amex _____MC _____Visa _____Discover

Name (as it appears on credit card) ________________________________________________

Credit Card Number: ___________________________________________________________

Exp: __________________ *CVV____________________

*CVV is the last 3 numbers behind your MC & Visa credit card, and with Amex is the 4 digits in front above the credit card number- this is the credit card security numbers.

Billing Address: _________________________________________________________

City: __________________________ State:_________ Zip:______________________

Telephone: _________________________ Cell Phone: __________________________

Fax: _________________________ Email: ___________________________________

Driver License Number: ______________________________________State issued______

I understand that my signature on this contract will serve as an authorized credit card slip to be billed for services rendered by A 2 Z Limousine, Inc.
I understand these charges may include but are not limited to all tolls, gratuity,stc/surcharges,parking, wait time, extra stops, no-shows, cancellations, etc. I understand that if I can not locate my driver, it is my responsibility to call: A 2 Z Limousine. Failure to call A 2 Z Limousine and leaving the pick up location will result in a no-show and charged to my credit card.All cancellations are subject to a cancellation fee which will be charged to my credit card listed above. To find out Cancellation Policy/Fees, please speak to an agent.
Cardholder Signature: ________________________________________Date:_____/_____/______
Phone: (954)792-2005 / Fax: (954)678-9186 / Toll Free: 1(877) Ride-A2Z /
Website: www.a2z-limo.com / Email: info@a2z-limo.com