CREDIT CARD AUTHORIZATION FORM I Full Name I authorize R&F Motors, Inc. to charge my credit card account indicated below for 0.00 on or after . This payment is for Description of goods / services . Billing Address Phone Number City, State, ZIP Email Address Account Type* VisaMastercard Cardholder Name Account Number Expiration Date CVV2: 3 digit number on back of Visa / MasterCard Billing ZIP Code CARDHOLDER'S SIGNATURE Date I authorize the above-named business to charge the credit card indicated in this authorization form according to the terms outlined above. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated in this form.