REdDot Truck Service
Secure Payment Form

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Order Summary:
Order Date: 08/19/19
Invoice Amount: *
Invoice Number: *
Customer IP:


Credit Card Information:
Card Type:


Name as on Card: *
Card Billing Address: *
City: *
State: *
Card Billing Zipcode: *
Card Number: *
Card Expiration Date: MMYY*
Card ID (CVV2/CID) Number:
[What is the Card ID?]
Company Name: *
First Name: *
Last Name: *
Phone Number: *
Email Address: *

Reddot Truck Service Shall Provide Emergency Truck Repair Service In Accordance With Terms And Conditions Of The Service Agreement.

  1. The Card Holder Intending To Be Legally Bound And Has Executed Or Caused This Payment Authorization To Be Executed And Acknowlege Reciept Of Copy Of An Invoice Proir To Authorization Of Services.
  2. The Issuer Of The Card Identified On This Item Is Authorized To Pay The Amount Shown As Total Upon Proper Presentation. I Promise To Pay Such Total (Together With Any Other Charges Due Thereon) Subject To And In Accordance With The Agreement Governing The Use Of Such Card
  3. The Part (S) Is Sold "As Is". The Only Warranties Applying To This Part (S) Are Those Which May Be Offered By The Manufacturer (S). Buyer Shall Not Be Entitled To Recover From The Company Any Consequential Damages, Damages For Loss Of Use, Loss Of Time, Loss Of Profits, Or Income, Or Any Other Incidental Damages. In Addition Expressly Exclude Our Company Liable For Defects Pertaining To Saftey Or Performance, By Way Of "Strict Liablity", Negligence Or Otherwise.
  4. Card Holder Agrees To Pay The Amount Of The Invoice For Services Rendered. Card Holder Has Read, Understood And Agrees To The Terms And Conditions Above.

I Agree: