Quest Limos Inc. 153 Saddlecrest Way Ne Calgary, AB , T3J 5N1 www.questlimos.ca | 403-800-9225
Credit Card Authorization Form Credit Card Holders Name: _______________________________________________________ Address : ______________________________________
City : ___________________
Province : ________________ Postal Code : ______________ Credit Card Number:__________________________________________________________ Security Code (CCV):_________________
Expiration Date:_______/_______
Credit Card Type (Tick One): _____ Visa ____ MasterdCard _____ American Express Cell Phone: ( _______ ) ___________________ Email : __________________________________ Trip Tickets (if Applicable) : _________________________________________________ I authorize Quest Limos Inc. to charge the amount CAD$__________.____ to my credit card. I agree that I will pay for this purchase in accordance with the issuing bank cardholder agreement. In addition, I authorize Quest Limos INC. to charge the credit card provided above for any additional balances, overtime or additional use of service, or damages that may occur during my service. By signing below Client agrees to Quest Limos Inc. Terms and Condition Available at our Website.
Please print name for Account Setup for Future Bookings and services. I _______________________________________________ would like to establish account and authorize Quest Limos Inc. to process any charges for all future services and keep card on file. I authorize Quest Limos Inc. to charge the above referenced credit card for transportation and related services received through Quest limos Inc. or its affiliates. I fully understand and agree to Quest Limos Inc's Terms and Conditions available on website. I authorize Quest Limos Inc. to process all charges accordingly . Credit Card Holders Sign and Date Signed Sign :_____________________________________ Date :______/_______/_________
Once Completed, please return this form to Quest Limos Inc, By Email : info@questlimos.ca or By Fax : 403-800-9225 / 1855-546-6992