AIAP Credit Card Authorization Form

Arlington International Aviations Products, LLC

Credit Card Authorization Form
Your Company Name:*
AIAP Sales Order Number:*
Customer Purchase Order Number:*
Name*

First NameLast Name
Name on Credit Card*
Email Address For Invoices/Receipts*
example@example.com
Contact Phone Number*
- A 5 % fee is added to all Credit Card Transactions, make sure to include this in your payment amount.
- The cardholder certifies that they are an authorized user of this credit card and will not dispute these scheduled transactions with their bank or credit card company, so long as the transactions correspond to the terms indicated in this authorization form.
- All credit card orders will be released once payment has been made with our accounting department.
- Items not available at the time of shipping will not be charged, and a 2nd payment authorization will be required.
- Your credit card details are not retained within the form or by our accounting department.
- This Credit Authorization Form has a 256-bit SSL encryption and is PCI DSS compliant with a PCI Service Provider Level 1 certificate.
Questions? Call 817-465-9880 or Email: AR@AIAPInc.com

Invoice Amount + 5%*

USDDescription

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

I, the undersigned cardholder, hereby authorize Arlington International Aviation Products to charge my credit card for purchases related to goods and services in the above referenced sales order.*

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