Continuous

National Car Rental N.V.
Tanki Leendert 170
Oranjestad, Aruba
Phone: (297)587-1967
Email: info@arubanational.com
National Car Rental N.V.
Tanki Leendert 170
Oranjestad, Aruba
Phone:(297)587-1967
Email: info@arubanational.com

Credit Card Authorization Form

Please read this before you continue: Authorization to purchase services from National Car Rental N.V. on a continuingbasis using the credit card described herein and the terms described below, unless otherwise instructed in writing by the credit card holder.
Form must be completed in full, signed by an authorizeduser of the credit card, along with a clear copy of the credit card and authorized user driver’s license or passport page showing signature and picture, emailed to billing@arubanational.com andreceived by National Car Rental N.V. before any order can be made. If you fail to comply with these requirements we won’t be able to process your order.

Customer Information

Name on Credit Card:__________________________________________

Credit Card Billing Address: ______________________________________

Phone Number: _______________________________________________

E-mail addressto send receipt: ________________________________

Type of Credit Card

Amex: _____ Visa: _____ Master Card: _____ Discover: _____

Credit Card #: ____________________________________CCV# _______________________
3-digit code after cc# found on the back of the credit card

Expiration Date: ____/_____

Cardholder’s Signature ______________________________ Date: _________

Icertify that the above statements and information made in the agreement are true and correct to the best of my knowledge. I also certify that I am authorized to effect charges to the above creditcard number. In the case of any issues or disputes concerning this transaction I will notify National Car Rental N.V. promptly to rectify the situation prior to notifying my credit card company.