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Credit Card Authorization Form - PLIplishipping.com/img/Credit Card Authorization Form - PLI.pdf · CREDIT CARD AUTHORIZATION FORM Yes, I would like my credit card billed for all

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Page 1: Credit Card Authorization Form - PLIplishipping.com/img/Credit Card Authorization Form - PLI.pdf · CREDIT CARD AUTHORIZATION FORM Yes, I would like my credit card billed for all

CREDIT CARD AUTHORIZATION FORM

Yes, I would like my credit card billed for all of our shipping through PRECISION LOGISTICS INTERNATIONAL, LLC. Please bill the credit card below as indicated.

Company Name: _________________________________________________________

Company Phone: _________________________________________________________

Email Address: ___________________________________________________________* An email summary receipt of each credit card transaction will be sent to the email listed above

Credit Card Type:

Visa Credit card number: _____________________________________Expires: _________

Master Card Name on credit card: _____________________________________________________

AMEX Verification Code (3 digit # on back OR 4 digit # on front for AMEX): _______________

Discover Credit card billing address:_______________________________________________________________________________________________________________________

I hereby authorize PRECISION LOGISTICS INTERNATIONAL, LLC. to regularly process the credit card listed above for all shipping done through my PRECISION LOGISTICS INTERNATIONAL, LLC. account:

Authorized Signature: _________________________________ Today’s Date: ______________

Printed Name: _________________________________________________________________

Please indicate how you would like your credit card billed (mark with an X):

_______ Bill the credit card once per week (on Friday) for the previous week’s invoice.

_______ Bill the credit card once per month (around the 1st of each month) for all of the previous calendar month dated invoices.

________ Bill the credit card with phone call or email authorization only.

* This authorization is to remain active and in effect until PRECISION LOGISTICS INTERNATIONAL, LLC has received writtennotification, from the customer listed above, of its termination in such time and in such manner as to afford

PRECISION LOGISTICS INTERNAIONAL, LLC a reasonable opportunity to act on it.

Please scan and email back to us or include with your next payment. Please call us with any questions andas always, thank you for your business!

Precision Logistics International, LLC. Accounts Receivable, 5500 Military Trail #22-256, Jupiter, FL 33458 Phone: 561-502-0047 Email: [email protected]