Recurring Credit/Debit Card Payment Authorization
You authorize regularly scheduled charges to your {creditCard[1]} credit/debit card completed below. You will be charged the amount indicated below each billing period. A receipt for each payment will be provided to you and the charge will appear on your credit/debit card statement as a “Credit/Debit Debit”. You agree that no prior-notification will be provided unless the date or amount changes, in which case you will receive notice from us
I, {fullName}, authorize PDP Trucking Inc (Merchant) to charge my credit/debit card indicated below for a total of ${creditCard37} starting on {currentDate} and same day of each month thereafter.
This payment breakdown is for Truck/Trailer Parking Spaces as follows:
($150.00 x {howMany} Spaces) + ${cityAnd} of 8.25% City & State Sales Tax + ${creditCard44} of 3.5% Credit/Debit Processing Fee = ${creditCard37} Total to be charged monthly.
Billing Information
Billing Address: {billingAddress}
Phone: {cellPhone}
Email: {email}
Credit/Debit Card Details
Card Type: {creditCard[1]}
Name on Card: {creditCard[2]}
Card #: {creditCard[3]}
CVV #: {creditCard[6]}
Expiration Month: {creditCard[4]}
Expiration Year: {creditCard[5]}
I, {fullName}, authorize PDP Trucking Inc to charge my credit/debit card above for agreed upon purchases. I understand that my information will be saved to file for future transactions on my account. I agree to be charged an additional 3.5% processing fee when selecting the Credit Card option. I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify PDP Trucking Inc in writing of any changes in my account information or termination of this authorization at least 7 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I understand that because these are electronic transactions, these funds may be withdrawn from my credit/debit card as soon as the above noted periodic transaction dates. In the case of a credit/debit card being rejected I understand that PDP Trucking Inc may at its discretion attempt to process the charge again within 30 days. I acknowledge that the origination of credit/debit card must comply with the provisions of U.S. law. I certify that I am an authorized user of this credit/debit card and will not dispute these scheduled transactions with my card holder; so long as the transactions correspond to the terms indicated in this authorization form.