Authorization Form

Accept and Sign

Before filling out and accepting the Authorization Form, kindly take a moment to read the terms and conditions provided below as well.

– Step 1 of 5

Name *

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Email *

Phone

Reservation date

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Billing Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

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Reservation number if any

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I agree and authorized *

• I agree and authorized all term and conditions.

I, the undersigned, authorize TX BLACK CAR AND LIMO SERVICES LLC to charge the above referenced credit card for transportation and related services, which may be rendered through TX BLACK CAR AND LIMO SERVICES LLC or it’s affilates in accordance with the terms and conditions stated above. I agree to provide an immediate pre-authorization of funds for any reservations less than 7 days. For all others, a pre-authorization will be obtained 7 days prior. A final capture of the funds will be obtained 1 day after day of service for total amount due.

Signature *

Clear Signature

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Driver's License Image

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Note: If your image file size is large, you may need to wait a bit while uploading, otherwise, you might encounter errors such as ‘The field is required,’ etc.

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Credit Card Image (Front And Back) *

Click or drag files to this area to upload. You can upload up to 2 files.

Take/Upload Photo of the Credit Card The card image is required to prevent fraud. It is securely encrypted and only used for validation. Note: If your image file size is large, you may need to wait a bit while uploading, otherwise, you might encounter errors such as ‘The field is required,’ etc.

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Terms and Conditions:

1. A deposit in the amount of 25% the total bill (unless other arrangements are made) is due at time of signed contract.
2. For service within 24 hours of booking, payment is required (and your card will be charged) before the vehicle will be dispatched.
3. All deposits are NON refundable. FULL PAYMENT DUE 30 DAYS PRIOR TO SERVICE (unless other arrangements are made.)
4. Group cancellations made prior to 15 days in advance of service date may apply their deposit to new service within the next 365 days.
5. Affiliate customers may cancel airport transfers and hourly charters up to 8 hours before start time with no penalty (inside two hours full charge and does not include out of market jobs, mini coach or motor coach jobs.)
6. Leisure customers may cancel airport transfers up to 8 hours before the flight with no penalty (inside 8 hours full charge).
7. Leisure customers may cancel hourly jobs up to 24 hours in advance. (They may apply their deposit to new service within the next 365 days excluding special events/holidays.)
8. Reservation is 100% guaranteed at time of booking and receipt of a confirmation with booking and confirmation number will be sent.
9. It is the responsibility of the client/affiliate to verify all details of any confirmed trip. No refund will be given due to inaccuracies on a reservation.
10.  Company is not liable in the event of mechanical breakdown while on charter and will only be responsible for making up lost time at a mutually agreed date.
11. All electronic services on buses are complimentary amenities including audiovisual, PA system, internet, etc. Any malfunctions will not be grounds for a refund or cancellation.
12. The client assumes full financial liability for any damage to the chartered vehicle caused during the duration of the rental by them or any members of their party.
13. A fee minimum of 250.00 for each carpet or seat burn.
14. A sanitation fee minimum of $500.00 and will be charged if a person gets sick in the chartered vehicle.
15. Alcohol Consumption and drug use is prohibited by law. Any fines will be paid for by the customer in addition to insurance ratings related to the charter that is charged by the insured.
16. The driver has the right to terminate run without refund (if there is blatant indiscretion on the part of the client(s)).
17. It is Illegal to stand through a sunroof.
18. Smoking is not permitted in any of our chartered vehicles.
19. Overtime pay will apply after the first 15 minutes of prearranged time described on the trip sheet $20 for every 15 minutes delayed (this does not include commercial airline flight delays).
20. For any flight delayed beyond 12:00 am, $1.00 per minute will be charged for the additional wait time.
21. Not responsible for delays or the termination in winter caused by unsafe road conditions (ie. not salted, accidents, etc.).
22. Not responsible for articles left in the chartered vehicles.
23. Balances to be paid to the driver on the run date before the beginning of the run.
24. Any overages on time that was not reserved will be charged to the credit card provided once services are rendered (unless other arrangements have been made.)
25. Vehicles cannot be loaded beyond seating capacity.
26. Exact vehicles are not guaranteed.
27. For events/groups if payment is requested to be processed via credit card a 4% processing fee will apply.
28. By contracting (paying, giving credit card info over the phone or email/or using services) you agree to all policy and procedures including terms of service.
29. Not responsible for Acts of God, War, Terrorism, Storms, Flooding, Rain, and/or Traffic that can cause delays or cancellation of requested services.

By signing above, I acknowledge the charges listed on the TX BLACK CAR AND LIMO SERVICES. In the event of passed cancellation deadline, l authorize TX BLACK CAR AND LIMO SERVICES to charge the full reservation fee. I read and agreed to all the cancellation guidelines (terms and conditions) that apply to my reservation. I understand that I’m liable for any late fees, cancellation fees, taxes and other charges. I will not dispute this charge.
Payment based on TX BLACK CAR AND LIMO SERVICES rate listed on the web/phone as well as other authorized charges is made to be in accordance with the issuing card policies. I affirm my obligations under the card member’s agreement. Credit front and back side along with driving license or ID for verification purpose.

All Reservations Are Final Confirm, No Deposit Refunds Upon Earlier Cancellation

For Reservation and 24/7 customer service please call (214) 764-3700