• ANDREW J. STOSKOPF TRUCKING, INC.

  • WARROAD, MN | 218-386-4810
  • CREDIT / DEBIT CARD ON-FILE AUTHORIZATION

  • Fillable form - complete & sign. Enter full card details ONLY through AJS secure payment collection.
  • CUSTOMER & PAYMENT CARD DETAILS

  • Format: (000) 000-0000.
  • Card Type
  • AUTHORIZATION FOR CARD-ON-FILE CHARGES AFTER THE INVOICE DUE DATE

  • I authorize Andrew J. Stoskopf Trucking, Inc. (AJS) and its secure payment processor to retain a payment token for the credit/debit card identified above and to charge that card for outstanding snowplowing invoices on my customer account. This is a BACKUP PAYMENT AUTHORIZATION, not a charge at the time of signing. AJS will first issue an invoice stating the charges and due date. I may pay by another accepted method before the due date. If an invoice remains unpaid after the due date, I authorize AJS to charge the remaining unpaid balance on the FIRST BUSINESS DAY AFTER THE DUE DATE, without obtaining additional permission for each invoice. Each amount varies with work completed and will not exceed the amount owed on the applicable invoice.

    I authorize this merchant-initiated, stored-credential transaction arrangement for the 2026-2027 snowplowing season and thereafter only for unpaid invoices from services I authorized, unless revoked. I may cancel FUTURE card charges by notifying AJS at 218-386-4810 or in writing at PO Box 23, Warroad, MN 56763 before processing. Cancellation does not eliminate charges for services already provided. AJS may require an alternate valid payment method to continue automatic-route service. I confirm I am an authorized card user.
  • Date (MM/DD/YYYY)
     - -
    2 digit month, 2 digit day, 4 digit year
  • A typed name is not a verified e-signature by itself; use an approved e-sign workflow or ink-sign the printout.
  • 2026-2027 Snow Plowing Season | Customer copy must be provided after authorization.
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  • Should be Empty: