2504967 ontario ltd o/a abrams auto transport
TRANSCRIPT
2504967 Ontario Ltd o/a Abrams Auto Transport 1 Promenade Cir, Suite 308A
Thornhill, ON L4K 1K8
T (416) 494-9090 F (905) 597-7355
1 Promenade Cir Suite 308A,Thornhill, ON, L4K 1K8
Credit Card Authorization - Snowbirds Customer Name
Card Type □ Mastercard □ Visa □Amex □ Other (please indicate)
Credit Card Information Card Holder Name
Card Number XXXX XXXX XXXX XXXX Expiration Date CCV (3 digits on back of card) Postal Code
Billing Address Address
Address
City, Province Postal Code
Amount Authorized
Please complete all fields. You may cancel this authorization at any time by contacting us at [email protected] or (416) 494-9090 Ext. 0224.
I, ______________________ hereby authorize 2504967 Ontario Ltd o/a Abrams Auto Transport to charge my vehicle transportation fee to my credit card.
_______________________________ __________________________ Cardholder Signature Date
How did you hear about us?We are keen to acknowledge our business partners and customers who may have referred you to us. Please take the time to let us know how you heard about us.
Check any boxes that apply: o Snowbird Advisor (Membership #__________________)o Referral from one of our current/previous customers, if yes who? __________________o Referral from another business, if yes, which company?__________________________o Other – Please provide details______________________________________________