









ORANGE TOURS & TRANSPORTATION LLC-CREDIT CARD HOLDER'S AUTHORIZATION FORM:
Cutomer Information |
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| First Name: | Last Name: | |||
| Home Phone: | E-mail Address: | |||
| Cell Phone: | ||||
Arrival Information |
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| Arriving Date: / / | Arriving Time: : | |||
| Arriving Airline: | Flight Number: | |||
| Arriving From: | Party of: Adult: Children: | |||
| Destination: | No. of Car Seat: | |||
| (Roundtrip Only) Date: / / | ||||
Credit Card Orders |
Pick-up | |||
| Full Name (as it appears on Credit Card): | ||||
| Billing Address: | ZIP Code | |||
| City: | State: | Total Charged : $ | ||
| Credit Card No: - - - | Expiration Date: / (mm/yyyy) | |||
| 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. Signature: _________________________________________________________ Date: _____/____/____ |
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