-- Credit Card Authorization Form --

 

 

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Credit Card Holder Information
 
 
 
   
   
   
 
Reservation Number:
 
   
     
 
Full Name: (As it appears on Credit Card)
 
   
     
 
Billing Address: (Where the Credit Card Bill is Sent)
 
   
     
 
City:
 
   
 
 
 
State:
 
   
 
 
 
Zip:
 
   
 
 
 
Telephone:
 
   
 

 
 
Credit Card Information
 
 
Check One:
 
  Mastercard Diners Discover AMEX    
 
 
 
Amount that Sam's Limousine & Transportation is Authorized to charge:
 
   
 
 
 
Card Number
 
   
 
 
 
CVV
 
 
 
 
 
 
Exp Date
 
   
 
 
 
 
 

PLEASE CHARGE CREDIT CARD AS FOLLOWS:

 
     
 
I authorize Sam's Limousine & Transportation to charge the credit card specified above the full amount of the service. In accordance with the terms and conditions between Sam's Limousine & Transportation and the undersigned, I fully understand Sam's Limousine & Transportation Cancellation Policy. I authorize Sam's Limousine & Transportation Limo to process all charges accordingly.  
   
 
Cancellation and booking fees.
4.1 Once a booking is placed by the customer, the service provider will charge the customer per the agreement language of the confirmation.  A down-payment not outlined in that agreement may be required to reserve a vehicle.
4.2 Any cancellation advised 72 hours prior to the agreed meeting or pick up time the customer will incur charges specified in the confirmation agreement.  All limousine reservations must be paid in full prior to vehicles departure from our facility on the date of the reservation. At our discretion, we may delay final processing of the payment transaction until arrival of the vehicle and/or completion of the trip.  The final payment will be automatically put on your credit card on file unless other arrangements are made and documented.
4.3 Any cancellation made within the agreed cancellation period must have a cancellation confirmation from the service provider.  All reservations without a cancellation confirmation will incur a charge of 100% of the agreed fare.
4.4 Where a booking is made within 48 hours of the pick up or meeting time condition 3.2, 3.3, 3.4 and 3.5 will apply in case of a cancellation.
4.5 The service provider may agree to waive conditions in 4.1, 4.2, 4.3, and 4.4 or reduce the charge, only in exceptional circumstance. In such circumstances the service provider may require proof. In enforcing these conditions the service provider will be considerate and consider all representations made by the customer. However in any event the charge made will reflect the cost incurred by the service provider.
4.6 Where a payment has been made in advance by card the card transaction costs currently 6% will not be refunded under any circumstances.
4.7 Cancellations can be advised by the customer either by email or fax.
4.8  By email – The time and date of receipt when the email reaches the service provider will be deemed to be the time and date of cancellation.
4.9· By fax – The time and date recorded by the receiving fax (service providers fax) will be deemed to be the time and date of cancellation.
4.10 You may postpone or amend booking if the request falls within the allotted time for a cancellation. Where a postponed booking is cancelled the customer will incur a charge of 100% of the agreed fare regardless of when the cancellation is made.
4.11 There will be a $25. Fee for a check returned by your bank for any reason.
 
       
 
Check box to indicate acceptance by credit card holder of Terms and Conditions  
   
 

Terms and Conditions

The following terms and conditions apply to all services provided by Sam’s Limousine & Transportation, Inc. and its subcontracting affiliates.
1. Definitions
1.1 The “service provider” is Sam’s Limousine & Transportation, Inc.
1.2 The “customer” is the person who accepts any offer of service.
1.3 “Passenger” is the person travelling or in the case of a group the person named on confirmation.
1.4 The “service” is the transportation service the service provider and the customer agree.
1.5 The “confirmation” is the document which outlines details of the service and makes part of the email sent to the customer confirming the service/booking.
1.6 “Confirmation” is the email sent to confirm the service/ booking.
1.8 “Booking” is the request for transportation from the customer.
2. Terms of service
2.1 Prices for the service will be published on the website www.samslimousine.com or other prices agreed in writing at the time of confirmation of booking.
2.2 The prices are subject to change without notice. However, prices agreed and confirmed by the service provider and the customer will be held.
2.3 Any changes to the service may result in alteration to the prices, to reflect any changes to the cost to the service provider.
2.4 Any bookings made during special events (i.e. Houston Rodeo, major sporting events, concerts, prom/homecoming events) may be subject to higher rates. 
2.5 Bookings/request for service can be made by telephone, e-mail or through the online booking facility.
2.6 The service provider can cancel any booking/request for service prior to the services being rendered.
2.7 Where bookings are made by telephone, fax, or e-mail the customer will be in acceptance terms and conditions by receipt of confirmation email.
2.8 The customer must supply all information required for by the service provider. This will include flight details, destination addresses, passenger details and baggage details and any other information required by the service provider.
2.9 The service provider will not be responsible for errors in information provided by the customer. All information sent by the customer will be emailed to the customer if requested.
2.10 The customer will be responsible for checking the details provided in the booking form for accuracy. In situations where the service provider was unable to provide a service due to inaccurate information condition 3.2, 3.3, 3.4, and 3.5 will apply. 
2.11 You may amend any details provided in the booking form up until 48 hours prior to the pickup time. Any amendments to the flight details, destination or vehicle type made within 48 hours of the scheduled pick up/meeting time could result in cancellation of service and cancellation charges as described in 3.1, 3.2, 3.3, 3.4, and 3.5 will apply. The service provider may alter prices to reflect costs to the service provider. In such circumstances, the service provider will make every effort to provide a service. 
2.12 The service provider may subcontract work to other agencies if deemed necessary by the service provider.
2.13 If the customer chooses to pay for the service by cash on the day. An advance of 20% will be required and a major credit card in the customer’s name must be provided to secure payment. 
2.14 Where there is a variation to the flight’s scheduled arrival the service provider will make every effort meet the customer as agreed. However the service provider will not be responsible for delays in these circumstances.
2.15 Where the passenger is being met at the airport our driver will arrive at the airport as arranged and wait for one hour. If the passenger or customer does not either contact the driver or the service provider via the telephone numbers provided in the booking confirmation or driver confirmation, the driver will leave the airport and cancellation charges will be levied as described in 3.2, 3.3, 3.4 and 3.5.
2.16 The service provider will make every effort to provide a service with minimum inconvenience. However circumstances beyond the control of the service provider may prevent execution of the service. The following are some examples of such circumstances:
     Accidents causing traffic delays
     Restricted vehicular access
     Mechanical malfunctions
     Exceptional or severe weather conditions
     Complying with requests by the law
     Vandalism and terrorism
      Industrial action
     Delays caused by other customers
     Extraordinary changes to flights status of your or other customers 
     Any other situation that will affect the provision of the service.
2.17 If the passenger is unable to find the driver on exiting the secure area at an airport or seaport or in the case of other pick up points the designated pickup point, the passenger must contact either the driver or the service provider via the telephone numbers provided in the booking confirmation or driver confirmation. Failure to contact the service provider or the driver will result in 100% of the fare and any other waiting time being charged to the customer.
2.18 The service provider will use every reasonable means to ensure that the vehicle(s) arrive at the appointed time stated in the booking form. The service provider will not incur any liability whatsoever in the event of any delay due to causes beyond its control. All our vehicles are insured for passenger and third party claims as required by the licensing authority. However, whilst every care is taken, customers’ property is carried entirely at their own risk and no responsibility can be accepted for loss or damage. Customers are advised to check their own travel insurance. You are required to make all time/address changes more than 48 hours in advance of your reservation time.  We will not be held liable for any delays or inconveniences caused by rerouting of trips after the 48 hours prior to a reservation. You are required to give specific instructions related to your pickup.  These include and are not limited to addresses (obtainable from our mapping programs), location of pickup contact point, contact phone numbers, and proper payment information.  Charges incurred for delays will be the sole responsibility of the customer. We prefer detailed maps and itineraries. If you do give verbal directions, give the driver plenty of notice for turns and stops. These cars need time and room to respond and maneuver. It is your responsibility to be absolutely familiar with all areas you wish to go in the vehicle.
2.19 The time you are paying for starts when the limo arrives at the first pickup location and ends upon release of the vehicle by the passengers.. Out of area runs may incur charges for travel time.  Dropoffs that occur prior to the time stated in the confirmation will not receive a refund for the time not utilized.  On a daytime run, there may be an evening run preventing you from using the limo past a certain time. Determine this ahead of time and make your plans accordingly. Payment must be arranged well in advance with cash or credit card with approval codes. Be advised that if the car goes more than 15 minutes into overtime without being paid, the driver reserves the right to end the ride.
2.20 The service provider reserves the right to refuse to carry any person who is thought to be under the influence of alcohol drugs or and/or whose behavior is considered to pose a threat to other passengers, the driver, or the vehicle. Driver reserves the right to final routing if he/she deems it in the best interest of the passengers and the vehicles safety.
2.21 The driver’s primary responsibility (in addition to transporting you safely) is to safeguard the car. Do not ask him to do anything that would require him to leave a vehicle.
2.22  For security reasons the limo will not wait in dark or unguarded areas. At the driver’s discretion, he may decide the waiting area is unsafe and will leave. It will be your responsibility to communicate with the driver and arrange an exact time for him to return. It will be your absolute responsibility to communicate directly and clearly to the driver where to go and when you want the car to be back.
2.23. Driver will not speed or break any traffic laws. 
2.24  Drivers will not purchase cigarettes or alcohol for minors.  It is illegal for us to provide alcohol in any of the vehicles, even for passengers of legal drinking age.
2.25 Possession or use of illegal drugs by anyone is prohibited in any of our vehicles. If the driver observes drugs, he will pull the car off the road, and you, your guests and your drugs must exit the car immediately. In this eventuality you will receive NO REFUND.
2.26  In the sole judgment of the driver, if he determines that the behavior of you or your guests for any reason is out of control, unsafe, illegal, dangerous or irresponsible to lives and property, he can terminate the run on the spot and order all occupants out of the car and then drive off. He may or may not issue a WARNING before he takes this action. If this happens, you will NOT RECEIVE A REFUND.
3. Vehicles
3.1 The service provider reserves the right to substitute a scheduled vehicle with a comparable replacement if necessary.
3.2  Smoking is NOT permitted in any of our vehicles.
3.3  The cars cannot idle with the air conditioners, heater, electrical components running for extended periods of time, any time of year. Customer must give ample notice of intent to enter vehicle to give driver sufficient time to let all components get to maximum performance.
3.4  Do not try to overload the car with people. You will be told how many will safely and comfortably fit in the car. Do not exceed this number. 
3.5  Lots of baggage can be a big problem. These cars have small trunks.
3.6  Make sure you have left nothing in the car at the end of the run. This is your responsibility and we will accept absolutely no liability for anything you may have left behind.
3.7  You cannot decorate the car in any way, shape, fashion or form, period.
3.8  You are financially responsible for any physical damage done to the car by you or your guests.
4.  Cancellation and booking fees.
4.1 Once a booking is placed by the customer, the service provider will charge the customer per the agreement language of the confirmation.  A down-payment not outlined in that agreement may be required to reserve a vehicle.
4.2 Any cancellation advised 72 hours prior to the agreed meeting or pick up time the customer will incur charges specified in the confirmation agreement.  All limousine reservations must be paid in full prior to vehicles departure from our facility on the date of the reservation. At our discretion, we may delay final processing of the payment transaction until arrival of the vehicle and/or completion of the trip.  The final payment will be automatically put on your credit card on file unless other arrangements are made and documented.
4.3 Any cancellation made within the agreed cancellation period must have a cancellation confirmation from the service provider.  All reservations without a cancellation confirmation will incur a charge of 100% of the agreed fare.
4.4 Where a booking is made within 48 hours of the pick up or meeting time condition 3.2, 3.3, 3.4 and 3.5 will apply in case of a cancellation.
4.5 The service provider may agree to waive conditions in 4.1, 4.2, 4.3, and 4.4 or reduce the charge, only in exceptional circumstance. In such circumstances the service provider may require proof. In enforcing these conditions the service provider will be considerate and consider all representations made by the customer. However in any event the charge made will reflect the cost incurred by the service provider.
4.6 Where a payment has been made in advance by card the card transaction costs currently 6% will not be refunded under any circumstances.
4.7 Cancellations can be advised by the customer either by email or fax.
4.8  By email – The time and date of receipt when the email reaches the service provider will be deemed to be the time and date of cancellation.
4.9· By fax – The time and date recorded by the receiving fax (service providers fax) will be deemed to be the time and date of cancellation.
4.10 You may postpone or amend booking if the request falls within the allotted time for a cancellation. Where a postponed booking is cancelled the customer will incur a charge of 100% of the agreed fare regardless of when the cancellation is made.
4.11 There will be a $25. Fee for a check returned by your bank for any reason.
5.  Waiting & Additional Time/Travel Charges.
5.1 The driver will arrive at the airport or seaport as arranged and wait for 20 minutes. Any further waiting time will be charged at the standard rate.
5.2  We bill in increments of 30 min increments for time surpassing the agreed upon wait time (point-to-point transfers) and/or drop time (hourly as directed runs). You are given fifteen minutes grace period and then billed for another 30 min. For example, 4 hours and 16 minutes would be billed as 4.5 hours. Be sure to allow enough time for your occasion. In many cases, there will be another run booked thirty minutes after you have scheduled yours to end. If you think you might need more time, you should request it at the time of booking. These events have a way of taking more time than you think. If several people are in your group, it would speed matters up considerably for everyone to meet at one place and leave from there rather than have the limo go to six different houses in different parts of the city. Also our cars drive much slower than yours.
6.  Methods of payment.
6.1 The following methods of payment are acceptable: 
     · We accept most credit and charge cards. There is no additional card   transaction charge. 
     · Company Account payable by check on agreed terms.
     · Cash in U.S. Dollars.
7. Other conditions.
7.1 The service provider reserves the right to change any condition without notice.
7.2 Nothing can affect the customer’s statutory rights.
7.3 These conditions are governed by Texas law and U.S. Federal law when applicable.
I have read, understand, and will comply with the provisions stated above.
4.  Cancellation and booking fees.
4.1 Once a booking is placed by the customer, the service provider will charge the customer per the agreement language of the confirmation.  A down-payment not outlined in that agreement may be required to reserve a vehicle.
4.2 Any cancellation advised 72 hours prior to the agreed meeting or pick up time the customer will incur charges specified in the confirmation agreement.  All limousine reservations must be paid in full prior to vehicles departure from our facility on the date of the reservation. At our discretion, we may delay final processing of the payment transaction until arrival of the vehicle and/or completion of the trip.  The final payment will be automatically put on your credit card on file unless other arrangements are made and documented.
4.3 Any cancellation made within the agreed cancellation period must have a cancellation confirmation from the service provider.  All reservations without a cancellation confirmation will incur a charge of 100% of the agreed fare.
4.4 Where a booking is made within 48 hours of the pick up or meeting time condition 3.2, 3.3, 3.4 and 3.5 will apply in case of a cancellation.
4.5 The service provider may agree to waive conditions in 4.1, 4.2, 4.3, and 4.4 or reduce the charge, only in exceptional circumstance. In such circumstances the service provider may require proof. In enforcing these conditions the service provider will be considerate and consider all representations made by the customer. However in any event the charge made will reflect the cost incurred by the service provider.
4.6 Where a payment has been made in advance by card the card transaction costs currently 6% will not be refunded under any circumstances.
4.7 Cancellations can be advised by the customer either by email or fax.
4.8  By email – The time and date of receipt when the email reaches the service provider will be deemed to be the time and date of cancellation.
4.9· By fax – The time and date recorded by the receiving fax (service providers fax) will be deemed to be the time and date of cancellation.
4.10 You may postpone or amend booking if the request falls within the allotted time for a cancellation. Where a postponed booking is cancelled the customer will incur a charge of 100% of the agreed fare regardless of when the cancellation is made.
4.11 There will be a $25. Fee for a check returned by your bank for any reason.
5.  Waiting & Additional Time/Travel Charges.
5.1 The driver will arrive at the airport or seaport as arranged and wait for 20 minutes. Any further waiting time will be charged at the standard rate.
5.2  We bill in increments of 30 min increments for time surpassing the agreed upon wait time (point-to-point transfers) and/or drop time (hourly as directed runs). You are given fifteen minutes grace period and then billed for another 30 min. For example, 4 hours and 16 minutes would be billed as 4.5 hours. Be sure to allow enough time for your occasion. In many cases, there will be another run booked thirty minutes after you have scheduled yours to end. If you think you might need more time, you should request it at the time of booking. These events have a way of taking more time than you think. If several people are in your group, it would speed matters up considerably for everyone to meet at one place and leave from there rather than have the limo go to six different houses in different parts of the city. Also our cars drive much slower than yours.
6.  Methods of payment.
6.1 The following methods of payment are acceptable: 
     · We accept most credit and charge cards. There is no additional card   transaction charge. 
     · Company Account payable by check on agreed terms.
     · Cash in U.S. Dollars.
7. Other conditions.
7.1 The service provider reserves the right to change any condition without notice.
7.2 Nothing can affect the customer’s statutory rights.
7.3 These conditions are governed by Texas law and U.S. Federal law when applicable.
I have read, understand, and will comply with the provisions stated above.

 
 
 
 
 
Electronic Signature:
 
   
 
 
 
Date: