Authorized Signer: Date:

IMPORTANT: you are stating that you are the actual account holder on the information submitted above and are authorizing Butler/TruCar to debit/charge the said amount described herein. By clicking the submit button you are also acknowledging your booking reservation and have read and agree to the terms and conditions.

Please VERIFY your account number as you will be held responsible for returned transaction charge(s) whether it's a typo in any numbers you provide. So please verify all information above.  All returned/denied charges will incur a $45.00 charge per item. 

Note:  In order to keep our costs lower than other companies and to provide you with the most effective means possible, we conduct most correspondence via email.

Thank you