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Security Code |
City State
Zip
Your credit card has a
unique security code, which helps ensure your card is present during a
transaction. Visa and Master Card credit cars feature a
three-digit number on the back of the card, immediately following the
account number. American Express feature a 4-diget number on the
front of the card, above the account number. We request that you enter
this number as an additional security measure.

Enter Security Here
Please use this space for additional stops, special
requests etc. Any important information regarding your reservation |
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ADDITIONAL INFORMATION
Please
tell us about the charter. where are you going? and what
we will be doing.
CREDIT CARD HOLDER SIGNATURE |
NOTE: Online
reservation must be made 48 hours in advance. Your
reservation is not complete until you receive a confirmation
number. For immediate service, please call our office
718-241-4322 or toll free 888-317-5466. If you prefer
to send your reservation via fax, please fax your completed
form to 718-209-2462.
The credit card holder
MUST be present at the pick up location. If you are
paying for someone else, please print and fax your
reservation with a clear (legible) copy of the front and
back of the credit card and a photo ID (Example: Driver
License) to 718-209-2462
By submitting this form, I
understand and agree that:
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I am the credit
card holder.
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I am requesting
the service listed above.
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I am authorizing
Persaud Limousines Inc to charge this credit card for the
requested services.
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