AmericasMart Logistics, LLC. 240 Peachtree St., NW Suite 2200 Atlanta, GA 30303 Fax – 678-686-5350
COMPANY NAME CARDHOLDER (NAME AS IT APPEARS ON CARD) CARDHOLDER BILLING ADDRESS CITY, STATE, ZIP
TYPE OF CARD (WE DO NOT ACCEPT AMEX)
MASTERCARD
VISA
CARD NUMBER
/
EXPITATION DATE
SECURITY CODE (3 DIGIT CODE ON BACK OF CARD)
PRINT NAME
TITLE
CARDHOLDER’S SIGNATURE
DATE
I, the Cardholder, consent and agree that the above credit/debit card can be charged for all current and future transactions with AmericasMart Logistics (“AML”). I, the Cardholder, understand that the above credit/debit card will be used by AML for all contracts, agreements, services etc (“Agreements”) that AML provides to the Company Name (“Company”) above, including but not limited to storage, transportation, packing and labor services as provided by AML. The Cardholder furthermore agrees that charges made to the above credit/debit card are made pursuant to and are bound by the terms thereof all AML Agreements. Additionally, the Cardholder understands and agrees that AML will handle services for the Company that may need verification of size, weight or other dimensions before final balance is known; in that case AML is authorized by the Cardholder to charge or refund as need after said verification.
AmericasMart logistics, LLC – 877-588-8930 (p) - 678-686-5350 (f) - 4361 International Parkway, Hapeville, GA 30354