Credit Card Authorization Form
I, authorize the use of my credit card as payment for my freight charges. I authorize the sum of to be charged to my credit card plus the applicable 3% finance charge.
Mastercard
Visa
Cardholders Name:
Address:
Credit Card Number:
Expiration Date:
Date of Birth:
Phone Number:
For use in the payment of charges incurred by: (Shippers Name, Invoice or HAWB Numbers)
