EFTA00326280.pdf

From: "Natalia Molotkova" ci To: ' Cc: Subject: Authorization form from London, Claridges [Incident: 160415-000324] Date: Thu, 14 Apr 2016 18:34:37 +0000 Attachments: Claridge's_Authorisation_For_Payment_Form_-_Ms_Shuliak.pdf To: Karyna Shuliak Subject: Authorization form from London, Claridges From: Natalia Molotkova Sent: 04/14/2016 02:34 PM Please fill the form, sign and email back to me.. Thank you, Regards, Natalia (Natasha) Molotkova Centurion Relationship Manager Hours: Monday through Friday 9:00am to 5:30pm EST Privacy Statement I Visit the Centurion Card website To learn more about e-mail security or report a suspicious e-mail, please visit us at americanexpress.com/phishing. © 2015 American Express. All rights reserved When booking concierge services for Card Members, American Express uses a third party concierge service contractor ("Concierge Company"). In some cases, Concierge Company will provide you with certain information about the service provider(s) fulfilling your concierge service. The actual decision to use any service provider referred by Concierge Company and/or American Express is the responsibility of each Card Member. Concierge Company and American Express strongly recommend that you carefully consider each service provider before choosing to use that provider. Service providers are not employees or agents of Concierge Company or American Express, and are not authorized to act on behalf of Concierge Company or American Express in any way. The Card Member accepting and utilizing a service provider acknowledges that Concierge Company and/or American Express are in no way responsible for the actions of the service provider used by the Card Member, and expressly understands and agrees that the exclusive remedy for any claims relating to services or products provided by the service provider (including, but not limited to negligence or failure to deliver on the terms of any contract between the service provider and the Card Member) is against the service provider and not against Concierge Company and/or American Express. Concierge Company and/or American Express shall not be liable for loss, damage, or other claim with respect to any services or products provided to Card Member by service provider. Service provider rates and availability are subject to change. Content is provided "AS IS," without any express or implied warranties. Portions of this content are provided by Gayot© and may not be used without written permission. Used hereunder by license. For Google "Maps Terms of Use" click here: EFTA00326280 Ihttp://maps.google.com/help/terms maps.html). For "Map Legal Notices" click here: Ihttp://www.maps.google.com/helpfEgalnotices maps.html. There is typically no cost to you for most booking efforts Concierge Company and American Express perform on your behalf, although you are responsible for any purchases and/or shipping charges you authorize. Fees may apply for meetings and event planning. We reserve the right to note profile and preference data for servicing purposes. American Express acts solely as sales agent for travel suppliers and is not responsible for the actions or inactions of such suppliers. We want you to be aware that certain suppliers pay us commissions and other incentives for reaching sales targets or other goals, and may also provide incentives to our travel counselors. For more information please visit www.americanexpress.com/travelterms California CST#1022318, Washington Ufillt600-469-694, Iowa TA#002, Nevada NV#2001-0126 Ref# 160415-000324 EFTA00326281