A1 Limo To Fly
Reservations: (416) 455-5999

Toll Free: 1-877-455-5999 (USA & CANADA)
www.a1limotofly.com

Towncar Sedans - Stretch Limousines - SUV Ė Luxury Vans


CREDIT CARD HOLDERíS AUTHORIZATION FORM:

In Lieu of my Credit Card Imprint, ______________________________________________
                                                           (Name of Credit Card Holder as shown on Credit card)
hereby authorize A1 Limo To Fly to charge my credit card.
Credit Card Holderís Name: _____________________________________
Credit Card # : __________________________ Exp Date : __________
Transportation Charge : $ ____________+ 13% HST (Govt Tax) : $ _____________
+ 20% Driverís Gratuity : $ _______ + Airport Tax : $10.00 (Airport Pick-Up Only)
Meet & Greet Service @ Toronto Airport ($45.00): Yes/No (Optional)
Total Charged : $ ____________
The charge is for payment of transportation for myself and passengerís if other than card holder.
Passenger Name : ______________________________________________
Pick-up Date: _________ Pick-up Time: _________ # of Passengers: ________
Airline & Flight # ___________________________________ OR
Pick-up Location: _______________________________________________
Drop-off Location: ______________________________________________________
Pick-up Date:_________ Pick-up Time: _________ # of Passengers: ________
Airline & Flight # ___________________________________ OR
Pick-up Location: _______________________________________________
Drop-off Location: ______________________________________________________
Type of Vehicle : Stretch Limousine - Towncar Sedan - Luxury Van (Circle As Applicable)
Type of Service : One-Way - Roundtrip - Charter (Circle As Applicable)
Cardholder Billing Address: _______________________________________
_____________________________________________________________
Home Phone#: __________________ Work Phone#:_____________________
Fax#: ________________________ Cell# __________________________
e-mail address:_________________________________________________
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.
Date:______________ _____________________________________
                                                    (Signature of Card Holder)

Thank you for your business and your prompt action is appreciated. Please fill out this form
completely and call us back @ 416-455-5999


Travel Agents Only:
Business Name & Address: ____________________________________________________
_____________________________________________________________________________
Business Phone # : _______________________ Business Fax # : __________________
Website or e-mail address : ________________________________________________________
Referral By (If Applicable) : ______________________________________________________