U.S. Open Limousines
Toll Free: 1.888.917.2400   Phone: 1.718.457.1757    Fax: 1.718.476.3779
CREDIT CARD CHARGE AUTHORIZATION FORM
In order for us to process your service request, Please Complete,
Print and Sign this Authorization form, then fax back to us at 1.718.476.3779

I, (Cardholder's name*)
Authorize US Open Limousines to charge all expenses to my credit card:
Amex   MasterCard    Visa       Dinners     OTHER
 Card Number*  # Exp.date* /   V -code*

 *Billing Address
* City    * State  *Zip code
*Home phone#   Cell phone#   Fax number#
E-mail

PASSENGER NAME*:
PICK UP DATE*: (Month/Day/Year)   TIME*:  AM PM  
PICK-UP LOCATION*:
AIRLINE:   FLIGHT#:   
ARRIVAL TIME:  AM PM      or         DEPARTURE TIME:  AM PM
DESTINATION:
PASSENGER PHONE# PASSENGER CONTACT

Select Vehicle Type:  
SEDAN                STRETCH         SUPER STRETCH        HUMMER        EXCURSION
EXCALIBUR       ROLLS ROYCE             BUS             OTHER

Number of Passengers: Comments:

Office use only:      Total Charges $:   Driver Name:

I understand that these charges may include but are not limited to all tolls, parking, waiting time, stops, NO SHOW, LATE CANCELLATIONS etc.. If I can't find my driver, I understand that it's my responsibility to call "US Open Limousines". Failure to call our office and leaving pickup-location will result in No-Show charge to my credit card, I agree that if I wish to cancel my reservation it is my responsibility to notify "US Open Limousines" at least 24 hours prior to the reservation time. Failure to do so will result in
LATE CANCELLATION charges to my credit card.

*Cardholder signature: _________________________________________Date:______ /____ /__________

Please attach to this form a clear and readable photocopy of your credit card (both-sides). Fax to 1.718.476.3779
Thank you for choosing "US Open Limousines"

Email us at: LimoService@usopenlimo.com


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