By signing below, you authorize Dealer to make debit entries in the form of credit card payments to Dealer’s Account identified above in accordance with the Payment Schedule.

Your payment will be made automatically from your designated account. If your due date falls on a weekend or holiday, your payment will be deducted on the last business day before your payment due date.

If a charge has been initially declined, you authorize the Dealer to attempt to re-charge the card at a later date if he so desired. You may cancel this authorization by sending written notice to Dealer at the Dealer’s address above, or by completing a new copy of this form. Dealer must be notified of cancellation at least 10 days prior to the payment due date or payoff of the contract.

For inquiries about credit card transactions or your account with us, please call (346)355-7802.

You acknowledge that you received a copy of this authorization when you signed it.