(773) 992-0902 limo@allamericanlimo.com
Select * VISAMASTERCARDAMERICAN EXPRESSDISCOVER
Name on Credit Card: *
Credit Card Number *
Expiration Date *
Security Code *
Billing Address *
Billing Zip Code *
I, the undersigned, hereby authorize All American Limousine, Inc., to charge the above listed credit card account the amount indicated on all orders I approve by fax receipt, or my signature (anyone authorized by me to sign) at the time of receipt, and that I will in good faith, make good on the above charges. I do hereby personally guarantee payment of the event of a charge-back or non-payment without just cause, by All American Limousine, Inc. My signature is proof that I knowingly submitted this credit card information as valid & true. My signature denotes that I understand & authorize personal and/or the corporate use of this credit card for future services to be rendered without any or other signatures.