Upon authorization of the Quote to lease, please complete the following credit card authorization.

Card Type:  _____  Visa _____ MasterCard

Company Name: _______________________________________

Name on Card:  ________________________________________

Card Number:  _________________________________________

Last 3 digits located on the BACK of your Visa/MC near your signature:
____   _____    _____

Expiration Date:  ___________________  (mm/yy)

By my signature, I hereby authorize WolfByte Software to charge my monthly WolfDispatch OR quarterly FuelTax by WolfByte invoice payments to my credit card (account number listed above).  I further authorize the above-listed credit card company to accept this authorization form in lieu of my signature.

Signed by:  ____________________________________________

Date:  _________________________


Please fax this completed form to WolfByte Software at (905) 593-0259.


Thank You!

Credit Card
Authorization 


WolfByte Software Inc. 5805 Whittle Rd., Suite 208, Mississauga, ON  (905) 593-0259   Fax:  (905) 285-0021