Credit Card Authorization

I authorize Shleppers Moving & Storage to charge my credit card on file for services rendered.

Customer Name:  

Customer Email:  

Name that appears on Card if different:  

Amount of authorized charge:  

CUSTOMER AUTHORIZATION

Shleppers Moving & Storage has completed the work pursuant to the service agreement.

I authorize Shleppers Moving & Storage to charge the credit card on file for the balance shown here.

I promise not to stop payment or to do a chargeback, and understand that doing so is a breach of contract.

Leave this empty:

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Signature Certificate
Document name: Credit Card Authorization (Stand Alone)
lock iconUnique Document ID: 237dedffdc7b0213853b682958986ccc7456eddc
TimestampAudit
January 19, 2022 1:13 pm PDTCredit Card Authorization (Stand Alone) Uploaded by Shleppers Moving & Storage - docs@shleppers-ca.com IP 45.49.139.219
January 25, 2022 3:07 pm PDTDispatch Department - dispatch@shleppers-ca.com added by Michael Friedland - Michael@shleppers-ca.com as a CC'd Recipient Ip: 45.49.139.219
May 17, 2022 1:11 pm PDTDispatch Department - dispatch@shleppers-ca.com added by Shleppers Moving & Storage - docs@shleppers-ca.com as a CC'd Recipient Ip: 45.49.139.219