Incidentals and Credit Card Authorization Form

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CLIENT & CREDIT CARD INFORMATION
I, the charterer*
hereby authorize The Charter Agency to charge my credit card below*
Credit Card #
Exp Date*
Your Address*
CONSENT / INCIDENTALS
CREDIT CARD & ID PHOTO UPLOAD
NOTE: We must receive a legible image of the front or back of the above credit card (whichever one contains name and account info) and a photo of a current and valid state issued driver’s license or identification card before date of charter/event.
Drop files here or
Max. file size: 128 MB.
    By your electronic signature of this form, you authorize charges to your credit card through 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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