Personal Credit Card Authorization

Signature on file authorization

For the purpose of charging transportation services on my credit card. I authorize the respective credit card company designated below to accept this form in lieu of my signature appearing on the individual credit card receipt for transportation services rendered.

The pertinent information below is needed:

 AMEX VISA MC DISCOVER

In addition, photocopy the front and back of the card holder's credit card and driver's license with photo or passport with photo and return by fax along with this form

This application will not be accepted without proper identification.

Rates, Terms and conditions are subject to change without prior notice

Fax this form to: 1 (201) 623-2501.