Authorization for Charge CardDebit • Credit • Prepaid

Please enter whatever name is shown as the primary client.

Date of your expected arrival, meeting, and/or initiated consulting (if applicable)

At least one phone number and E-mail address for each traveler. Please identify your informational preferences for any assistants, and/or other contact individuals.

Please provide at least one mobile number and E-mail address that can be used urgently. Please provide informational protocols for any assistants, security heads, and/or other representatives.

Please provide all relevant contact information and informational protocols that we should follow.

Please coordinate with your concierge if you are using JCB, a gift card, or would like to pay by other means.

Please provide the complete name(s) as shown on the card. This is may be validated by US merchant processors upon their request.

If the card number was separately provided, only the last four digits are needed.

Three- or four-digit code

Please enter two digits

Complete billing address, as shown on the card statements

All services that we provide are individualized. Please inform us of how we can best serve you.

Your concierge supports you with private service.