Credit Card Authorization Form

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  • A cancellation fee equal to the total trip cost including gratuity will be charged to the above credit card for any cancellation that is made less than 24 hours before the scheduled pickup time. Empire Limousine cannot be held responsible for passenger flights or trains that are missed, cancelled, diverted, delayed or any other incident the company cannot control which results in failure by the customer to comply with the above required cancellation policy. We will exact our best effort to fulfill client needs , in these instances , subject to wait time fees or late cancellations and rebookings , without detriment to other reserved clients . If for any reason the account balance is not paid, I agree that I will be liable for any and all reasonable legal fees and costs, in addition to my outstanding balance.
    I, hereby authorize Empire Limousine Worldwide Chauffeured Service to debit my credit card in the amount listed below or any amounts pre-approved by me. I understand that execution of this authorization constitutes such approval. I assume full responsibility for any and all non-payments. The cancellation policy** has been fully explained to me and I understand the same. I further understand that the bellow charges may change based on additional stops, parking, tolls, overtime and other miscellaneous expenses. No further signatures will be required for such a credit card payment.

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