APPLICATION
EQUIPMENT SUMMARY
MULTIPLE TRUCK OPERATION
Limited Power of Attorney
This form signed at date below allows NYB Ventures Group Inc and agents to sign all documents pertaining to and obtaining loads for my truck. This form is to remain in effect for these purposes ONLY until rescinded in writing by me.
Credit Card Authorization
Billing Information
I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify in writing of any changes in my account information or termination of this authorization at least 5 days prior to the next billing date, given in such time and manner as to allow the company a reasonable opportunity to act on it. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I acknowledge that the origination of Credit Card transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this Credit Card and will not dispute these scheduled transactions; so long as the transactions correspond to the terms indicated in this authorization
form. I, also, acknowledge that all orders may be immediately terminated at NYB Ventures Group Inc discretion. If charges are declined or charge-backs are claimed against any outstanding invoiced amount, NYB Ventures Group Inc has the right to suspend my account until further notice until an agreement has been made. Disputes to amounts invoiced should be immediately reported to info@nybventuresgroup.com. Change in status of this card should also be reported to info@nybventuresgroup.com