Secured Application and Authorization for Credit Card Transaction.

This form serves as written authorization to allow Construction Equipment Inc. to charge the credit card listed below for invoices that are posted to the account listed above with Construction Equipment Inc. These invoices could be for and are not limited to Equipment Rental, Tool, Equipment and Parts Purchases, Tool Repair Fees, Delivery/Pickup Fees and any other invoices that are posted to the account.

   Equipment Rental: is based on a 4-week minimum. If the equipment is kept out longer than the minimum rental period - the rent is prorated daily until returned and there will be additional rental fees. This written authorization gives C.E. Inc. permission to charge the additional rental fees against the credit card listed below every 4 weeks, after the 1st 4 week minimum rental period has passed, and until the equipment is returned.

   If any equipment is missing or damaged upon return - Construction Equipment, Inc. will bill the equipment and use this written authorization to charge the credit card.

   NOTE: Equipment Rental is based on a 4 week minimum and prorated daily thereafter. Inclement weather or any other job delay does not affect the rental period.

Name or Company name

Select a Card Type *

Corporate Code

Name Printed on Card *

Card Number *

Expiration Date *

CCV# *

Credit Card Mailing Address *

City and State *

Billing Zip Code *

Full Company Name *

Company Address

Email *

Drivers\'s License # *

State issued in? *

Date of Birth *

Telephone # Home

Telephone # Cell *

Telephone # Work

Cardholder's Signature *

Applicant’s typed name above attests personal financial responsibility & willingness to make payments in accordance to the terms specified. Should the undersigned default in making payments on this account, it shall be agreed, all costs, and expenses including reasonable attorney’s fees and court costs incurred or paid by Construction Equipment, Inc., in the enforcement of this agreement, will be paid on demand.

I agree to the above terms and am authorized to enter this agreement and sign this agreement on pickup or delivery of the rental items *

Yes

SCAFFOLDING RENTAL SERVICES
Serving Tampa Bay & Beyond
Clearwater, St. Pete, Largo, Pinellas, Pasco, and Hillsborough Counties, Florida.

Secured Application and Authorization for Credit Card Transaction.

Locate US

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Questions? Get in Touch!

SCAFFOLDING RENTAL SERVICES Serving Tampa Bay & Beyond Clearwater, St. Pete, Largo, Pinellas, Pasco, and Hillsborough Counties, Florida.

Secured Application and Authorization for Credit Card Transaction.

Locate US

PAGES

Questions? Get in Touch!

SCAFFOLDING RENTAL SERVICES
Serving Tampa Bay & Beyond
Clearwater, St. Pete, Largo, Pinellas, Pasco, and Hillsborough Counties, Florida.