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Authorize a Repair

Ewing & Ewing and
Addotta Air Conditioning



DEBIT/CREDIT CARD AUTHORIZATION FORM



Customer Name: Date:    

Credit Card Billing Address:

Address:
City: State: Zip Code:

Service Address (If difference from billing address):

Address:
City: State:Zip Code:
I hereby authorize Ewing & Air, Inc dba Ewing & Ewing and Addotta Air Conditioning to charge my Debit/Credit card up to $ for services rendered at the above address.If the repair excceds the authorized dollar amount our office will contact you with the repair quote.
Debit/Credit Card#:
Expires: Security Code:
Signature: