| CREDIT CARD CHARGE AUTHORIZATION |
FOR APARTMENT RENTAL CHARGESI hereby authorize a charge of $ ________________________________ USD to be made by PowerTools Software, Inc. on my credit card account itemized below, said charge to pay the Rental Charges as per a Rental Agreement dated ________________________________. Cardholder's Name ________________________________________________________ Company Name ________________________________________________________ Billing Address ________________________________________________________ City, State Zip ________________________________________________________ Telephone Number ________________________________________________________ Email Address ________________________________________________________ Credit Card Type __ Visa __ MasterCard Credit Card Number __________________________________________ Exp Date ________________ Cardholder Signature ___________________________________________ Date __________________ |