El Coco

CREDIT CARD AUTHORIZATION FORM PLEASE READ THIS BEFORE YOU CONTINUE: FORM MUST BE COMPLETED IN FULL, SIGNED BY AN AUTHORIZED USER OF THE CREDIT CARD, ALONG WITH A CLEAR COPY OF THE CREDIT CARD ANDAUTHORIZED USER DRIVER’S LICENSE OR PASSPORT PAGE SHOWING SIGNATURE AND PICTURE. FAXED TO 1(800) 769-6872 OR EMAILED TO INFO@GO2AUCTIONSNOW.COM AND RECEIVED BY GO2 BEFORE ANY ORDER CAN BE MADE. IF YOUFAIL TO COMPLY WITH THESE REQUIREMENTS WE WON’T BE ABLE TO PROCESS YOUR REGISTRATION.

___________________________________________________________ BY EXECUTING THIS AGREEMENT UNCONDITIONALLYAUTHORIZES GO2AUCTIONSNOW.COM TO CHARGE THE FOLLOWING CREDIT CARD:

CREDIT CARD TYPE: (Circle One) CREDIT CARD NUMBER: _____________________________________________________________ EXPIRATION DATE:__________________ CVV 2 CODE: _______________________________ (last 3 digits on back of card) CARDHOLDER’S FULL NAME: ____________________________________________________________ STREETADDRESS:______________________________________________________________________ CITY:_____________________________ STATE/PROVINCE: __________ ZIP CODE/ POSTAL CODE:____________________ COUNTRY:_______________________BILLING AREA CODE AND TELEPHONE No._______________________________________________ CUSTOMER #:______________________________________ IN THE CASE THAT A UNIT PURCHASED THROUGH MY GO2 ACQUIRED LOGIN TO BIDON THE AUCTION’S SITE IS RENEGED/RELISTED DUE TO NON PAYMENT IN MY PART. FOR IAA UNITS, IF RENEGED, THE FEE CHARGED WILL BE $1000 US OR 15% (WHICHEVER IS HIGHER) OF THE VALUE OF THE ORIGINAL BID. FORCOPART UNITS, IF RELISTED, THE FEE CHARGED WILL BE $400 US OR 15% (WHICHEVER IS HIGHER) OF THE VALUE OF THE ORIGINAL BID. I ALSO AUTHORIZE GO2 TO CHARGE ANY CHARGES LEFT ON MY GO2 ACCOUNT TO THE ABOVEMENTIONED CREDIT CARD AFTER ONE MONTH OF NON PAYMENT. THESE CHARGES MAY INCLUDE LATE FEES, TITLE FEES, OR ANY MISCELLANEOUS FEE MENTIONED ON THE GO2 SITE.

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