Credit Card Authorisation

Guest Name on Contract

First Name

Last Name

Name of Villa/Hotel & Address in Barbados

Arrival Date

YYYY

Departure Date

YYYY

Payment Information & Total Amount to be Charged

Cardholder’s Name

First Name

Last Name

Billing Address

Card Type

Card Number

Card Expiry Date

Month/Year

VIN

Confirmation

With this Credit Card Payment Authorisation I hereby authorise West Coast Taxi Service to apply the credit card information provided to the following services which I have requested and agreed to by email with my concierge in connection with the above mentioned reservation:

Cardholder’s Digital Signature

Please use you initials as your digital signature below.