Credit Authorization

I HEREBY AUTHORIZE SM FREIGHT INC. TO PROCESS THE CHARGES IN THE AMOUNT OF $ .00 FROM THE FOLLOWING CREDIT CARD:

*Card Number:

*Expiry Date:

*Security Code**:

*Card Holder Name:

*Company Name:

*E-mail (For Receipt):

*Confirm Total: .00

*List Invoices Paying (Comma Deliminated):

Signature Acknowledgement
*I acknowledge and agree that my below typed name is as legally binding as my written signature and that SM FREIGHT may retrieve the specified amount from the above card

*Authorization Signature: