Credit Card Authorization

VIP Vegas Limousine LLC, dba/ All Time Limo Credit Card Authorization Form.

For your reservation to be activated you MUST fill in the entire document and provide the items below.

Please provide the following items:

Copy of the FRONT & BACK of the credit card you are authorizing us to charge
Copy of the credit card issuer’s DRIVER’S LICENSE or PASSPORT

I hereby authorize VIP Vegas Limousine, LLC (DBA/ ALL TIME LIMO ) to utilize the following credit card for charges as follows:

Credit Card Authorization

Name of Customer:

Reservation #

Name on Credit Card:

Date of Services:

Type of Credit Card (Visa/MC/AMEX/Discover):

Credit Card EXP (Month/Year).

Credit Card Number:

CVN: Credit Card Verification Number:

Credit Card Billing Address:

Contact Phone Number:

Amount Authorized to be charged (This amount must reflect the total amount agreed upon by the carrier/ If the amount is less, we will reject this authorization form) $

Credit Card Holders Signature:

Date

Thank you for using VIP Vegas Limousine LLC, dba All Time Limo (CPCN 1124) for your transportation needs.

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Credit Card Authorization

VIP Vegas Limousine LLC, dba/ All Time Limo Credit Card Authorization Form.

Credit Card Authorization

All Time Limo

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