Fax Or Scan This Form:
Send To LimoPros by Email or Fax
webmaster@limopros.com or Fax to 954-756-7082

All credit cards will be charged by Douglas & Associates

 

I hereby Authorize LimoPros.com to charge my credit card for monthly charges provided by LimoPros.com to my company. I acknowledge that I have reviewed and understand the LimoPros fees schedule as provided. All credit cards will be charged by Douglas & Associates dba Limopros.com.

To open an account with LimoPros.com, you must provide a valid corporate or individual credit card. This card will be charged per schedule supplied by email.

I further acknowledge that I understand and agree to the Pre-Paid all fees on a monthly basis as described in the Terms of Use agreement. The cost will be deducted from my account balance and my credit will be charged to maintain my minimum balance which will be one month fee. I will have access to a detailed list of all monthly charges in my affiliate account- Account Activity.

In the event that my credit card should decline for payment, I understand that I have up to 48 hours to provide a new Credit Card form to avoid deactivation and a reactivation fee of $25 may be charged and/or any past due balances. I also understand that I may cancel my Limopros.com membership at anytime by sending an email directly to webmaster@limopros.com or by faxing cancellation notice to 954-756-7082

 

______________________________________
NAME OF COMPANY
______________________________________
NAME ON CREDIT CARD

CREDIT CARD NUMBER: ________________________   EXPIRATION DATE: ________________

CREDIT CARD'S VERIFICATION #: ___________________________ (please see below example)

__________________________________________________________________________________________
BILLING ADDRESS                                              CITY                                    STATE                                ZIP

____________________________________________
AUTHORIZED SIGNATURE
 
EXAMPLE OF VERIFICATION # FOR VISA & MASTERCARD
For your safety and security, we require that you enter your card's verification number. The verification number is a 3-digit number printed on the back of your card. It appears after and to the right of your card number.
3 Digit Card Verification Number
EXAMPLE OF VERIFICATION # FOR AMERICAN EXPRESS
For your safety and security, we require that you enter your card's verification number. The American Express verification number is a small 4-digit number printed on the front of your card on the right hand side.
4 Digit Card Verification Number

 

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