Credit Card Authorization Form

Print form. Complete and sign form. Any questions call 305.218.2249
Include photocopy of credit card (front and back). Copier to light setting or image will fax to dark.
Include copy of cardholder's drivers license.  
FAX to: 786-216-7061

Rental Type: Boat Rentals Luxury Charter Sightseeing Tour  
Card Type: Visa MasterCard American Express  
Credit Card Number:
                                     
 
Expiration Date:
                   
 
CID (card id #):
       
 Last 3 digit number on the back of your card or 4 digit number on front of Amex
 

Cardholder Name:   Signature: AUTHORIZATION TO CHARGE CREDIT CARD
Company: I, ________________________________, hereby authorize Captain Joe's Boat Rentals to charge my credit card account in the amount of  $____________ I understand all sales are final.
Address: 
City/State/Zip:
Telephone:

Cancellation Policy: all charters must be re-booked or you will forfeit your deposit. No exceptions