Starship - Incidental Authorization Form

STARSHIP MIAMI, LLC

Incidentals and Authorization Form

"*" indicates required fields

CLIENT INFORMATION

Charterer Full Name*

First Last

Your Address*

Street Address City ZIP Code

Your Email Address*

Your Phone*

CONSENT / INCIDENTALS

Signature*

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.