|
AIR CHARTER UNITED.COM 1.877.BID.JETS Fax: 305.885.6664
Transaction Agreement
CARDHOLDER:
BILLING
ADDRESS (OF CARD):
CITY/STATE/ZIP:
BUSINESS
PHONE: ( ) FAX: ( )
Monthly Membership Fee: $ 3,000.00 (6 months paid in advance) Total Amount: $ 3,000.00
FOR
THE PURPOSE OF THIS SIX MONTH MEMBERSHIP FEE,
TO PROCESS THE AMOUNT ABOVE TO THE FOLLOWING CREDIT CARD.
NAME ON CARD CARD NUMBER
EXPIRATION
DATE
CARD
HOLDER SIGNATURE
|