Hotz Catering & Rental — Credit Card Authorization

Your Information

Full Name *

Required

Charge Amount ($) *

Required

Invoice Number *

Required

Card Information

Cardholder Name *

Required

Card Number *

Invalid

Exp. Date *

Required

CVC *

Required

Billing Address

Street Address *

Required

City *

Required

State *

Required

ZIP *

Required

Card Photos (Front & Back)

Front of Card

Back of Card

Tap a box to open your camera. Photos are embedded in the signed PDF sent to Hotz Catering.

Signature

Sign here with your finger

Date *

I authorize Hotz Catering Service, Inc. to charge the credit card indicated in this authorization form according to the terms outlined on the BACK of your invoice. This payment authorization is for the goods/services described in your invoice for the amount indicated. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated in this form.

ALL CREDIT CARD SALES WILL INCUR AN ADDITIONAL 4% FEE.

24 HOUR SERVICE — 7 DAYS A WEEK
CALL US IMMEDIATELY IF THERE ARE PROBLEMS WITH EQUIPMENT
(800) 990-1599 OR NO CREDIT WILL BE ISSUED

NOTE: Customers with Net 30 Day Terms will be charged 1.5% per month (18% APR) service charge on all past due invoices.

Payment Submitted