01 CARDHOLDER INFORMATION

02 VEHICLE

03 AMOUNT & PURPOSE

Deposit to hold
Down payment

04 HOW PAYMENT IS COLLECTED

Credit card
Debit card
In person

05 TERMS

I am the authorized holder of the card listed above. I authorize Tradewinds Motor Center to charge that card in the amount and for the purpose stated in Section 03, as a one-time charge. I confirm the information on this form is accurate and that I have read and accept the terms in Section 05. Completing the secure payment link constitutes my authorization to charge the card I enter there.

06 SIGNATURE

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