Credit Card Authorization

Please complete this form and click on submit so that A-1 Rentals may review your credit card authorization information, or download a credit card authorization form and mail or fax it to A-1 Rentals.

Credit Card Type American ExpressVisaMaster CardDiscover
Name
Company Name
Address
Phone No. and Ext
Fax No.
Card Number
Name on Card
Expiration Date

By submitting this form you authorize A-1 Rentals, Inc. and its subsidiaries to use the credit card specified below for payment of all services provided to the person or company named. Please provide your credit card information below. Submission also authorizes A-1 Rentals, Inc. to charge the cardholder's account for all balances due to A-1 Rentals, Inc. for all services provided to the person or company.




Downloadable Forms

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