Credit Card Authorization

Secure payment authorization for Black Car Rides services

Credit Card Authorization

All BCR bookings are prepaid unless you hold an approved corporate account.
Your card details are transmitted securely over HTTPS and never stored on BCR servers in plain text.
Gratuity is included in all BCR quoted fares — no additional tip is expected or required.
This authorization is for the specific booking or account referenced on this form only.
DEVELOPER NOTE: Card fields must post directly to a PCI-compliant payment processor (Stripe, Authorize.net, etc.). Never log raw card numbers on your servers. CVV must never be stored.

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 Black Car Rides 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 are charged in full per the BCR cancellation policy.

Damage liability. Any damage caused to the vehicle by me or members of my party will be charged to this card per the BCR Terms and Conditions.

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

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

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

By checking this box, I agree to receive SMS messages about conversational purposes from Black Car Rides 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 have read and agree to the Privacy Policy and Terms & Conditions.