Stretch
Limousine, Inc.
4915
N. Cumberland Ave. Norridge, IL.
60706-4238
Phone: 773-230-1637
Fax: 708-452-2998
info@stretchlimochicago.com
CREDIT CARD
AUTHORIZATION
I authorize Stretch Limousine, Inc.
you to bill my credit card account for the full amount of my order (including
any taxes) plus gratitude 20%.
Card Type: ___ Visa ___ Master
Card
Cardholder Name: _________________________________________
Card Number: ____________________________________________ Exp: _____ / __________
Billing Address:
Street:
_____________________________ City: ____________________
State: ____ Zip: _______
PLEASE READ
AND UNDERSTAND BEFORE SIGNING
- I understand that, with my signature, I acknowledge
that I have checked all information provided to Stretch Limousine, Inc.
and it is correct.
- I understand that, with my signature, I acknowledge
that I am taking full responsibility for information provided, and that
Stretch Limousine, Inc. in no way accepts responsibility for any
misinformation.
- I understand that, with my signature, I acknowledge
that I will receive a receipt of my order. It is my responsibility to
check this receipt CAREFULLY for any errors. Errors may include,
but are not limited to, spelling or punctuation.
Signature:
________________________________ Date:
_____ / _____ / _______