Trip Receipt
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Payment Method:
Credit Card
Corporate Account
Ride Date From:
To:
Account #:
Last Name:
Phone:
Phone number
used for reservation
-- OR --
Email:
Email
used for reservation
Zip Code:
Card Type:
---Select---
Amex
Diners
Discover
Master
Visa
Last 8 numbers of card used:
Amount Charged:
TT
CC
From :
customer_service@nyblackcar.com
To :
CC :
BCC :
Subject :
Ride Search Receipt List
Attachment :
Message :
Please find the ride search receipt list attached with the email.
From :
To :
customer_service@nyblackcar.com
CC :
Additional Message :
How did you pay for your ride?
Credit Card
Direct Account Bill
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