Credit Card Authorization Form
  • (Please Separate with "/")
  • (Must match COI if one is provided)
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  • The undersigned agrees that all monies due to AVON RENT A CAR TRUCK VAN under the aforementioned rental agreement may be charged to the credit card above. The charges herein shall include, but shall not be limited to, daily rental charges, drop off charges, missing fuel, over mileage charges, optional items (i.e. straps, pads, dollies), loss damage waiver (LDW), Rental Liability Insurance (RLI) charges, and any charges for loss or damage to the vehicle. The authorization shall apply to all charges incurred during the term of the rental agreement and any extensions thereof. Pursuant to their standard rental agreement, the terms of which are hereby acknowledged, to charge all sums under their credit card account and to do all acts necessary to process the credit card charge for payment. In the event that the credit card company described above fails or refuses to make payment for the charges submitted, the above individual or company will agree that he/she will be responsible/liable for any charges of said refusal.