Cardholder *

First Name

Last Name

Authorized Person

(If Different from the Cardholder)

First Name

Last Name

*

I hereby authorize DLA Executive Limousine Corp. to charge the above credit card account number for all ground transportation booked through DLA Executive Limousine Corp. This will include all NO-SHOW charges as well as late cancellations. All additional charges such as waiting time, additional time, extra stops, parking and tolls may also be charged. Additional time will be calculated in increments of 60 minutes. This amount will be billed to the CLIENT and the CLIENT’s credit card above will be charged. DLA Executive Limousine Corp. will honor all agreed upon rates previously contracted with our company. Any discrepancies with an individual charge should be addressed with DLA Executive Limousine Corp. directly. Adjustments will be at the discretion of a DLA Executive Limousine Corp. management representative. By signing the above authorization to process charges to the above referenced credit card which has been provided via e-mail. Cardholder and company mentioned above agree that payment will be made for this purchase and indemnify and hold DLA Executive Limousine Corp. and related companies harmless against any liability pursuant to this authorization. Understanding that failing to provide DLA Executive Limousine Corp. and related companies valid credit card information will result in cancelation of the reservation.