Tire Experts Online Payment Center

Email Address: *

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Title: *

First Name: *

(As it Appears On Card)

Middle Initial:

(As it Appears On Card)

Last Name: *

(As it Appears On Card)

Billing Address: *

City: *

State: *

Zip Code: *

Billing Phone Number: *

Daytime Phone Number: *

Credit Card: *

Credit Card Number: *

Expiration Date: *

CVV Code: *

Tire Experts Invoice Number? *

Total Amount to Charge? *

Payment Authorization: *

I AUTHORIZE TIRE EXPERTS LLC. TO CHARGE MY CREDIT CARD PROVIDED ABOVE FOR PRODUCT(S) OR SERVICES RENDERED BY TIRE EXPERTS. THIS AUTHORITIZATION IS FOR A ONE TIME CHARGE ACCORDING TO THE ABOVE LISTED INFORMATION AND FOR THE AMOUNT I AUTHORIZED ABOVE. A RECEIPT WILL BE PROVIDED EITHER WITH THE VEHICLE OR EMAILED. BY CHECKING THE BOX I AUTHORIZE TIRE EXPERTS TO CHARGE MY CREDIT CARD FOR THE AMOUNT LISTED ABOVE AND TO BE APPLIED TO TIRE EXPERTS INVOICE NUMBER PROVIDED ABOVE.

Terms & Conditions Of Sale: *

I ACKNOWLEDGE TIRE EXPERTS INVOICE IS FOR SERVICES RENDERED BY TIRE EXPERTS LLC AND NOW TENDER PAYMENT IN CREDIT CARD CHARGE IN THE FULL AMOUNT SET FORTH ON THE INVOICE. THE ABOVE NAMED CUSTOMER AGREES TO PAY ANY AND ALL COST OF COLLECTION INCURRED BY TIRE EXPERTS LLC. INCLUDING RESONABLE ATTORNEY FEES, IN THE EVENT FOR ANY REASON PAYMENT IS NOT RECIEVED BY TIRE EXPERTS COMPLETE LLC. AN EXPRESSED MECHANICS LIEN IS ACKNOWLEDGED ON THE VEHICLE LISTED ON THE TIRE EXPERTS INVOICE TO SECURE THE COST OF REPAIRS MADE INCLUDING ANY PARTS UTILIZED DURING SUCH REPAIR.THE ABOVE LISTED CUSTOMER ALSO ACKNOWLEDGES THE SERVICE PERFORMED WAS DONE WITH FULL AUTHORIZATION OF THE PURCHASING PARTY OR THEIR AGENT, AND THAT THE SERVICE PERFORMED IS TO SATISFACTION. I UNDERSTAND IF MY VEHICLE IS LEFT ON THE PREMISES MORE THAN SEVEN (7) DAYS AFTER THE DATE OF THE INVOICE IT MAY BE CHARGED FOR STORAGE AT OWNER'S EXPENSE. BY CHECKING THE BOX I ACKNOWLEGE I HAVE FULLY READ AND AGREE TO THE TERMS AND CONDITIONS OF THIS SALE.

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