CREDIT CARD PURCHASE
Name of Authorized Buyer:
I hereby authorize Transcor Recycling LLC. to charge my credit card account in the amount not to exceed total below:
Maximum Chargeable Amount
Enter card number without dashed or spaces.
Picture of front and back
Drop files here or
Max. file size: 32 MB, Max. files: 2.
Enter month and year as such: 00/00
Three digit code on back of card.
Credit Card Billing Information:
Name as shown on card
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
I authorize the above named business to charge the credit card indicated in this authorization form according to the terms outlined above. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.
Important notice: If you are placing a card on file, we WILL NOT automatically pay invoices. You will need to call us every time to authorize a payment. However, in the event you have invoices more than 60 days we will charge your card the unpaid balance. Your completion of this authorization form helps us to protect you, our valued customers, from credit card
fraud. Transcor Recycling LLC. will keep all information entered on this form strictly confidential.
Please note that all sales are based on a cash basis and are discounted. Paying with a credit card negates the 3% discount and is added to all credit card sales.
YOUR PURCHASE DETAILS:
Onsite Phone #