Prompt, affordable, professional service
Prompt, affordable, professional service
CREDIT CARD AUTHORIZATION
FORM
Please print this form and fax information
to (340) 776-6734
(after confirming vehicle availability)
| Date: ________________ | |
| I personally, authorize Courtesy Car/Jeep Rental Inc. to charge a non-refundable deposit in the amount of $100.00 to the following credit card in my name. I understand that if I need to cancel the car rental I need to give two (2) weeks notice prior to arrival for my charge deposit to be refunded. |
|
| _____ Visa _____ MasterCard _____ American Express | |
| Name (as on card)_______________________________________ | |
| Account Number ________________________________________ | |
| Expiration
Date ___________________ *CVN# __________ *CVN - 3 digit number on the back of credit card signature panel |
|
| Signature _______________________________________ | |
| This deposit will be used towards the rental of a ________________ beginning on ______________ and ending on __________________. | |
| Number in your party ______ | |
| St. Thomas Arrival Time _________ AM / PM | |
| Flight No. _________ | |
| My contact information is: | |
| Name:_______________________________________ | |
| Address:_____________________________________ | |
| City / State:__________________________ | Zip:__________________ |
| Phone:____________________________________ |
|
| Mobile Phone: ______________________________ | |
| Fax: _____________________________________ | |
| Email Address : _______________________________________ | |
| St. John Local Contact: ___________________________________ | |
P.O. Box 1316, Cruz Bay,
St. John, U.S. Virgin Islands 00830
(340) 776-6650 Phone | (340) 776-6734 Fax | (866) 776-4228 Toll Free