Credit Card Guarantee

This authorization made on this date: , between USA Restoration Pros, hereinafter referred to as “The Company”, and First Name   Last Name, hereinafter referred to as “The Customer”, whereby The Customer instructs The Company to proceed with its recommended work and procedures to restore, preserve, protect and also to secure from further damage the property located at: Street Address  City   State   Zip.

Further, it is fully understood and agreed by The Customer that any and all charges for work performed
by The Company are the personal responsibility and liability of The Customer. Accordingly, The
Customer hereby authorizes The Company to charge its credit card for all said
charges.

CARD INFO: (scroll down for bank info)
A 3.5% credit card processing fee will be applied to all transactions.
CARD NO.:   Card Number   
V-CODE:   CVC   
EXP.:   EXP   
ADDRESS:   Street Address  City   State   Zip   

ACH AUTHORIZATION:
NAME ON ACCOUNT:      Name on Account   
ACCOUNT NUMBER:      Account Number   
ROUTING NUMBER:      Routing Number   
PHONE NUMBER:         Phone Number   
TYPE OF ACCOUNT:       Type of Account Personal Checking Personal Savings Business Checking Business Savings    
NAME OF BANK:      Name of Bank   

NAME: First Name   Last Name   
PHONE:  Phone Number  
EMAIL: Email   
Signature: Signature   
Date: Date