KENDALL TOYOTA
CREDIT CARD AUTHORIZATION
CITY:
_____________________ STATE: __________ ZIP __________ COUNTRY: ___________
TELEPHONE
#: _______________________ CREDIT CARD TYPE
____________
(AMERICAN EXPRESS,VISA MASTERCARD,DISCOVER)
CREDIT
CARD NUMBER: __________________________________________
BANK
TEL. # (LOCATED
ON CREDIT CARD) _______________________________________________________
CREDIT CARD TYPE ____________ 4 DIGIT CID# _________ AMERICAN EXPRESS ONLY
CREDIT
CARD EXPIRATION DATE: _______________________________
I
authorize “Kendall Toyota” to ship my merchandise to the above address, and
charge on my credit card the amount of.
$________________
Credit
card owners Signature_______________________________________________
KENDALL
TOYOTA
10943
S. DIXIE HWY.
MIAMI FL. 33157
CITY:
_______________________ STATE: __________ ZIP:__________ COUNTRY: ___________
FOR INTERNAL USE ONLY
APPROVAL #
______________________
VERIFY ADDRESS __________ SHIPPING DOCUMENT __________
APPROVAL DATE: ____________________ SHIPPING DATE
_____________
ASSISTANT NAME: _____________________________ INVOICE # S ________________
AUTHORIZED BY : ____________________________