THIS DOCUMENT AUTHORIZES THE USE OF THE CREDIT CARD LISTED BELOW
Company Name: __________________________________________________________
Name of Cardholder as
It appears on the card: __________________________________________________________
Billing Address: ________________________________________________________________
Credit Card #_____________________________
Expiration Date: ___________________________
CVV CODE: (BACK OF CARD)_______________
Signature: __________________________________________
Phone Number: _______________________ Fax Number: ________________________
E-Mail Address:________________________
Card Type: (Circle One) Master Card, Visa, Discover, American Express
ABC Rentals requires a clear photocopy of the front and back of the above credit card
with the signature clearly visible as well as a copy of the card holder’s driver’s license.
Please fax back to us at: Corporate Fax # 561-739-9977
By providing this card as deposit you hereby authorize ABC Rentals, Inc. to place
any remaining unpaid balance on this card should you fail to pay for your rental.
