CC Form – Car Services Miami

Full name as it appears on CC *
Credit Card Number *
Email
Expiration Date *

MM

DD

YYYY
Billing Address *
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone number associated with credit card *
Phone
Date of Ride *
Date Format: MM slash DD slash YYYY
Cell Phone *
Passenger Name *
Email *
*
- I agree to Limousine Worldwide Intl Inc. service terms, conditions and rates
A cancellation fee equal to the total trip cost including gratuity will be charged to the above credit card for any cancellation made less than 24 hours before the scheduled pickup time. Limousine Worldwide Intl Inc. cannot be held responsible for passenger flights or trains that are missed, cancelled, diverted, delayed or any other incident the company cannot control which results in failure by the customer to comply with the above required cancellation policy. We will exact our best effort to fulfill client needs , in these instances , subject to wait time fees or late cancellations and rebookings , without detriment to other reserved clients . If for any reason the account balance is not paid, I agree that I will be liable for any and all reasonable legal fees and costs, in addition to my outstanding balance.
I, hereby authorize Limousine Worldwide Intl Inc. to debit my credit card in the amount listed below or any amounts pre-approved by me. I understand that execution of this authorization constitutes such approval. I assume full responsibility for any and all non-payments. The cancellation policy** has been fully explained to me and I understand the same. I further understand that the bellow charges may change based on additional stops, parking, tolls, overtime and other miscellaneous expenses. No further signatures will be required for such a credit card payment.
Authorized signature *
Date of signature *
Date Format: MM slash DD slash YYYY
Print Name *
Front Credit Card Copy *
Back Credit Card Copy *
State Issued ID Copy *

Car Services Miami

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