Name: ETI Limousine & Charter Services
Price range: $

Limousine & Charter

Credit Card Authorization for Corporate Affiliates

Telephone (210) 599-9999
Email info@etilimo.com

Authorization to Debit Credit Card

Company/Client Name*
First Last
Date
MM slash DD slash YYYY
Authorized Personnel
First Last
Position
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone*
Alt No.
Fax No.
Tax ID No.
Email*
Amount
Credit Card
**AT THE TIME OF PICK-UP, CLIENT MUST PROVIDE HIS/HER ID & APPLICABLE CREDIT CARD TO DRIVER**

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name
PayPal account using PayPal by clicking on the following link: PayPal.me/ETILIMO
CONTRACT FOR SERVICE DISCLAIMER
Client is subject to the following terms and conditions
Terms & Conditions*
I agree with all the terms of conditions and acknowledge the contents of the Contract for Service Disclaimer set forth by the ETI Limousine & Charter.
- I have read the Terms and Conditions
Client Signature*
I HEREBY AUTHORIZE THE LIMOUSINE CO TO CHARGE MY CREDIT CARD FOR ALL ORDERED SERVICES. I ALSO AGREE TO ALL THE TERMS OF THE CONTRACT AND ACKNOWLEDGE THE CONTENTS OF THE CONTRACT FOR THE SERVICE DISCLAIMER SET FORTH BY ETI Limousine & Charter.
Signed Date*
MM slash DD slash YYYY
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Corporate Reservation Contract