Credit Card Authorization Form Select Account--Select Business Or Personal--BusinessPersonal Cardholder's Name Company Name Billing Address City State--Select State--AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict Of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianalowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip Code Email Phone Credit Card Type--Select Credit Card Type--American ExpressMaster CardDiscoverVisaOther Credit Card Number Expiration Date CVV Number Gratuity20%18%22%25%None Your Initials By providing my signature/initials and checking this box I agree that I would like to establish a credit card account on file and authorize KNY Limo LLC. to charge this card for all future services. By checking this box you agree to receive text messages from KNY Limo LLC, Reply STOP to Opt out anytime. This is our privacy policy. Signature :
