Credit Card Authorization Form

Credit Card Authorization Form

ORLANDO LUXURY TRANSPORT SERVICE Reservations: 407 987 3159
Cardholder Name as show on Credit Card

First NameLast Name
Email
Phone Number
Please enter a valid phone number.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Booking Details*
Type of Vehicle
I, {cardholderName}, as a cardholder, hereby authorize ORLANDO LUXURY TRANSPORTATION SERVICE to charge my credit card for Booking Transportation Service and confirm that the information for the credit card and billing address is complete and accurate.

By signing below, I acknowledge charges described hereon. Payment in full to be made When billed or in extended payments in accordance with standard policy of company Issuing credit card.

By Booking the service I voluntary waive the right to challenge or dispute any associated payments after booking/receiving my transportation service through this Online Credit Card Authorization Form.
Credit Card Details
Date

MonthDayYear
Date
Cardholder Signature

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