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Service Plus Limo
Fax: 416-755-7560 Toll Free: 1-800-993-9029 (USA & CANADA) www.servicepluslimo.com Stretch Limousines - Towncar Sedans - SUV – Luxury Vans CREDIT CARD HOLDER’S AUTHORIZATION FORM: In Lieu of my Credit Card Imprint, ______________________________________________ (Name of Credit Card Holder as shown on Credit card) hereby authorize Service Plus Limo to charge my credit card. Credit Card Holder’s Name: _____________________________________ Credit Card # : __________________________ Exp Date : __________ Transportation Charge : $ ____________+ 13% HST (Govt Tax) : $ _____________ + 15% Driver’s Gratuity : $ _______ + Airport Tax : $10.00 (Airport Pick-Up Only) Meet & Greet Service @ Toronto Airport ($45.00): Yes/No (Optional) Total Charged : $ ____________ The charge is for payment of transportation for myself and passenger’s if other than card holder. Passenger Name : ______________________________________________ Pick-up Date: _________ Pick-up Time: _________ # of Passengers: ________ Airline & Flight # ___________________________________ OR Pick-up Location: _______________________________________________ Drop-off Location: ______________________________________________________ Pick-up Date:_________ Pick-up Time: _________ # of Passengers: ________ Airline & Flight # ___________________________________ OR Pick-up Location: _______________________________________________ Drop-off Location: ______________________________________________________ Type of Vehicle : Stretch Limousine - Towncar Sedan - SUV - Luxury Van (Circle As Applicable) Type of Service : One-Way - Roundtrip - Charter (Circle As Applicable) Cardholder Billing Address: _______________________________________ _____________________________________________________________ Home Phone#: __________________ Work Phone#:_____________________ Fax#: ________________________ Cell# __________________________ e-mail address:_________________________________________________ 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. Date:______________ _____________________________________ (Signature of Card Holder) Thank you for your business and your prompt action is appreciated. Please fill out this form completely and fax us @ 416-755-7560 Travel Agents Only: Business Name & Address: ____________________________________________________ _____________________________________________________________________________ Business Phone # : _______________________ Business Fax # : __________________ Website or e-mail address : ________________________________________________________ Referral By (If Applicable) : ______________________________________________________ Please Click Here to Print |