1-888-50-COACH • 1-888-502-6224 • 323-524-0544
24-hr Dispatch Services:
Toll free:
1-888-502-6224
Local:
1-323-524-0544
Fax:
1-888-800-4622
E-mail:
customercare@hollywoodvipcoach.com
E-mail Credit Card Authorization Form
Non-cancellable. * Required Fields.
I, *
, authorize Global VIP Limousine to charge the following credit card for transportation services on *
Month
January
February
March
April
May
June
July
August
September
October
November
December
*
Day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
*
Year
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
2026
2027
2028
2029
2030
I understand the amount of the confirmation will be the minimum amount that can be charged and I also understand the amount charged will be the amount of actual charges shown on the Trip Confirmation(s). It is also understood that if prepayment is not received prior to date of service, my card will automatically be charged the amount of the Trip Confirmation.
I understand that reservation(s) listed below is (are) under following
cancellation policy:
non-cancellable
24 hours
48 hours
7 days
2 weeks
1 month
* Customer Name:
Company Name:
* Phone #:
Fax #:
* Card Holder:
* Statement Address:
* Last 4 digits of a Credit Card #:
* Exp. Date:
* E-mail address:
* Card Holder Birth Date:
* Today's Date:
Reservation ##:
Hard copy of a customer signature might be required.
Today is
Credit Card Authorization Form
Non-Cancellable Credit Card Authorization Form
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