Customer Satisfaction is not only our goal at U.S. Express Moving. It is our way of life and the founding block that sus-tains our business operation...

 

First Name :
 
Last Name :
 
Account / Job Number: :
 
Email Address :
 
Confirm Email Address :
 
Home Phone Number :
 
Work Phone:
  Ext
     
Card Number (Visa or MC only):
 
Expiration Date:
 
Cardholder Name:
 
Card AVS Authorization Number:
 
     
  (Please enter the address where you receive bills for your credit card)
Street Address:
 
Street Address 2:
 
City:
 
State:
 
Zip Code:
 
     
I authorize US Express Moving Systems Inc to charge the above account number beyond my first month complimentary on a monthly basis for all storage charges. I understand such charge for storage payments will automatically occur on or about my due day (move in day is the due day of each following month) for as long as I hold my shipment in storage or until I submit a written notice of termination for this authorization form. In the event the charges are refused by the credit card company, I agree that US Express Moving Systems Inc is under no obligation to make additional attempts to my debit / credit card. Written notice of termination must be received at least 10 business days prior to the due day (move in day is the due day of each following month) to avoid any charges on this card. I also agree to hold US Express Moving Systems Inc harmless from liability in a result of any activities done to my card not concerning my account with US Express Moving Systems Inc.
 
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