Charleston Executive
843-746-9000 / 888-309-7779 / Fax 888-830-9917
Credit Card Authorization
Customer Name_________________________________________________________
Company Name (if applicable)______________________________________________
Credit Card Billing Address ________________________________________________
City___________________ State___________________Zip Code_________________
Phone______________________
Credit Card
Information
Card Type American Express MasterCard Visa
Card #________________________________Name on Card______________________
Exp. Date__________________________CVV code_____________________________
I, the undersigned, authorize Charleston Executive to charge the above referenced credit card for transportation and related services which may be rendered through Charleston Executive and/or its affiliates. In accordance with the terms and conditions between Charleston Executive and the undersigned, I fully understand all policy and procedures, cancelation fees and additional charges as listed on Charleston Executive’s website www.charlestonexecutive.com. I authorize Charleston Executive to process all charges accordingly and understand that my credit card will be authorized prior to the contracted date and time and billed based on scheduled charges and services.
Signature_________________________________________________________Date____________________