CREDIT CARD AUTHORIZATION.
Address where
Your credit card
Bill is received ________________________________________________________________
City ____________________ State__________ Zip Code_______________________________
Daytime phone __________________ Evening phone __________________________________
Fax number____________________________________________________________________
Credit card type____________ Credit card number_____________________________________
Expiration date________/_________________/________________________________________
I authorize Executive Star Inc. to charge the above listed credit card for the
Amount of $___________ for the____ hours(One Way Transfer)of service on_______________________ Limousine.
Gratuity ___________ %
Fuel fee ___________%
Total: $___________
I agree to pay extra amount of $__________ /hour if I will use the Limousine Service for the extra time.
LIABILITY AGREEMENT: This agreement is a contractual arrangement of this company for hire of Limousine/Bus/Sedan service and pertains specially to the performance by the customer.
No alcohol is allowed if under 21 years old, or service will be terminated with no refund. No smoking. There is a $200.00 fee willed been applied to the customers for smoking in the vehicle.
$200.00 minimum clean-up/sick fee for in/out Limousine. $50.00 spilled drinks.
No standing out of moon roof. (It’s illegal). Any repair excess of usual use and wear of the hired vehicle, there will be a minimum charge of $200.00 for the repair. Executive Star Inc. is not responsible for lost, misplaced or stolen items left in the vehicle.
Cancellation must be made 21 days prior to service date. There will be full amount charge per vehicle for any late cancellation.
I AGREE TO ALL CHARGES WITH NO DISPUTE.
____________________________
(Authorized Signature)
__________________________
(Date)