STARSHIP MIAMI, LLC

Incidentals and Authorization Form

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CLIENT INFORMATION
Charterer Full Name*
Your Address*
CONSENT / INCIDENTALS
By your electronic signature of this form, you authorize charges to your credit card via The Charter Agency for services rendered or incidental occurrences. These charges will appear on your bank/credit card statement as The Charter Agency. You have the right to request a paper copy of this document.

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