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CC Form (WPO)

This document is a credit card debit authorization form for private transportation services from Rome to a cruise ship departure. It requests the customer's contact and credit card information to charge between 250-310 Euros for a sedan or van transfer on June 20, 2009. The customer must return the completed form by fax or email by June 12, 2009 to guarantee the transfer and receive a confirmation. Cancellations with at least 48 hours notice will not incur penalties, but later cancellations will be charged 100% of the fee.

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Nancy Sparling
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© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
241 views

CC Form (WPO)

This document is a credit card debit authorization form for private transportation services from Rome to a cruise ship departure. It requests the customer's contact and credit card information to charge between 250-310 Euros for a sedan or van transfer on June 20, 2009. The customer must return the completed form by fax or email by June 12, 2009 to guarantee the transfer and receive a confirmation. Cancellations with at least 48 hours notice will not incur penalties, but later cancellations will be charged 100% of the fee.

Uploaded by

Nancy Sparling
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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CREDIT CARD DEBIT AUTHORIZATION

LAST NAME __________________________________________ FIRSTNAME ___________________________________

ADDRESS ________________________________________________________________________________________________

CITY _______________________________ STATE ________________________ ZIP CODE __________________________

PHONE NUMBER _____________________________________ FAX NUMBER: ___________________________________

E-MAIL ADDRESS ________________________________________________________________________________________

PURCHASE REFERENCE : Saturday June 20, 2009: Private transfer service to the Civitavecchia Dock from Rome city center
(about 1 hour & 15 minutes transfer frame) OR Rome Fiumicino Airport (about 45 minutes to 1 hour) for WPO Charter Cruise
1923 on M/Y Seadream I:

Guest Name _______________________________________________________ Number of guest/s _________________

Pick up time ____________ From Hotel ______________________________ Hotel Phone ________________________


(driver will report at Hotel 15 minutes prior to requested pick up time)

Pick up time _______ From Rome Fiumicino Airport: Arrival Flight # _________ @ ________ from ______________
(driver will meet guests right outside customs exit with appropriate name identification signage)
Remarks: DDP Incentive Management Srl, is not responsible for:
1) Any no shows
2) Any flight changes which have not been notified to “DDP Incentive Management Srl” in advance
3) In the case that the driver and the guest/s do NOT meet outside of the airport customs/luggage claim area

Transportation method required (please, mark type of vehicle required):

Mercedes Sedan (Max 2 guests & 3 regular size bags)


EURO 250,00 per one way sedan transfer
Mercedes 6 to 8 seats van (Max 4 to 6 guests & 8 to 10 regular size bags)
EURO 310,00 per one way van transfer

This is to authorize charge of EURO _______________________________________________ on the following credit card:

AMERICAN EXPRESS CC NUMBER ___________________________________ CID CODE* ___________

VISA CC NUMBER ___________________________________ CVV CODE* ___________

MASTERCARD CC NUMBER ___________________________________ CVV CODE* ___________

* CID Code (for American Express) is the 4 digit code on the front of the card
* CVV Code (for Visa & Mastercard) is the last 3 digit code on the back of the card

BOOKING DEADLINE: Any transfer service to be requested within Friday June 12, 2009: once payment is processed,
a confirmation voucher will be immediately sent reconfirming all necessary details and complete DDP
contacts/emergency numbers. No penalty applied if service 's cancellation is duly notified in writing within 48 hours
prior to operations. After this date, 100% penalty will be applied.

EXPIRATION DATE _____________________________________________________________________________________

NAME ON CREDIT CARD ________________________________________________________________________________

CARDHOLDER’S SIGNATURE ___________________________________________________________________________

DATE ___________________________________________________________________________________________________

PLEASE, RETURN TO OUR OFFICE VIA FAX (+ 39 06 5413980) OR EMAIL ([email protected] and/or
[email protected]), DULY COMPLETED AND SIGNED FOR ACCEPTANCE .

D.D.P. INCENTIVE MANAGEMENT S.r.l.


Via Francesco Acri, 24 - 00142 Roma (Italy) - Phones (39)(06)5431288-5405044 Telefax (39) (06) 5413980

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