Credit Card Form

Alberto’s Truck Repair

Address: 11611 Westminster Ave, Garden Grove, CA 92843

Major Credit Card Authorization Form:

Name of Alberto’s Towing Merchant Account

Please Check One of the Following

Cardholder Name

Cardholder Numbers

Cardholder's CVV

Cardholder's Expiration Date

Cardholder's Phone Number

I authorize Alberto’s Towing to charge my credit card for the amount due on invoice. I also agree to not dispute any credit card charges on service rendered. If any dispute comes about the quality of towing services we agree to talk to management first to settle the dispute if any arises.

Signature

Date

Credit Card Form

Alberto's Truck Repair

714-756-7491

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