Credit Card Authorization

All Apex Black Car bookings are prepaid unless you hold an approved corporate account. Payment information is transmitted securely over HTTPS and is never stored in plain text on Apex Black Car servers. Gratuity is included in all quoted fares, and no additional tip is required. This payment authorization applies only to the specific booking or account referenced on this form.

Cardholder Information

First Name

Last Name

Billing Address

City

State / Province

Country

ZIP / Postal Code

Phone Number

Card Details

IMPORTANT: Do not photograph or email your card number. This form is transmitted securely over HTTPS. In production, these fields must be replaced with your PCI-compliant payment processor's hosted fields so raw card data never touches your servers.

Card Type

Visa Mastercard American Express Discover

Card Number

Expiry Date

CVV / Security Code

Name as it Appears on Card

Booking Reference

Booking Confirmation Number

Date of Service

Pickup Location

Destination

Base Fare (USD)

Total Authorized Amount (USD)

Authorization

One-time charge. I authorize Apex Black Car to charge the credit or debit card listed above for the total amount specified on this form.

Cancellation policy. I understand that cancellations with less than 24 hours' notice and no-shows may be charged in full according to the Apex Black Car cancellation policy.

Damage liability. Any damage caused to the vehicle by me or members of my party may be charged to this card in accordance with the Apex Black Car Terms and Conditions.

Accurate information. I confirm that I am the authorized cardholder and that all information provided is accurate and complete.

Terms and Conditions. I have read and agree to the Apex Black Car Terms and Conditions .

I authorize Apex Black Car to charge my card as described above.

By checking this box, I agree to receive SMS messages for conversational purposes from Apex Black Car at the phone number provided above. SMS frequency may vary. Message and data rates may apply. Reply STOP to opt out. Reply HELP for assistance. I confirm that I have read and agree to the Privacy Policy and Terms & Conditions.