Credit Card Authorization

Company Name:

Client Name: *

First

Last

Phone: *

E-mail *

Job Number: *

Invoice Number: *

Dollar Amount To Be Charged: *

Type Of Credit Card: (Please Choose One) *

American Express
Master Card
Visa
Discover

Name On Credit Card: *

First

Last

Credit Card Number: *

Card Billing Address: *

Address Line 1

City

State

Zip Code

Verification Code: (CVV) *

(Three or four digits on back signature panel or front of card)

Please Attach A Color Copy Of Drivers License:

Agreement: *

Agree

Agreement: This agreement is entered by the above-named client and Munro Enterprises, LLC. Client acknowledges that the name printed above is the name as it reads on the credit card, and the signature below is the authorizing signature for this credit card. Client authorizes Munro Enterprises, LLC. to charge the above credit card for all security deposit(s) and charges resulting from Rental Contract. Client must either sign for all equipment or list users below who can sign on Client’s behalf. Client’s (or authorized users) signature or Rental Contract is acknowledgment for the receipt of all equipment and services stated. Client agrees to abide by Munro Enterprises, LLC. rental Terms & Conditions and agrees to pay all fees stated (including charges resulting from, but not limited to, lost or damaged equipment and additional use charges). A one (1) day rental will be charged if cancellation notice is not received one (1) week prior to event date regardless of equipment delivery.

Additional Authorized Users:

First

Last

First

Last

GDPR Agreement *

I consent to having this website store my submitted information so they can respond to my inquiry.

Card Holders (Digital) Signature: *

Date: *

Contact Us:

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