Credit Card Authorization - MTS Mobile Truck Repair

Credit Card Authorization

Your card will be charged ONLY AFTER service is completed. Please provide your information below.

Service Rates (Final & Non-Negotiable)

Regular (9AM–5PM) Service Call $185 | $185/hr
After Hours (5PM–9AM) Service Call $195 | $225/hr
Heavy Duty Towing $890/hr (2-hr minimum)
Mileage (over 60 miles) $2.00/mile
Surcharge (per 60 miles) $100.00
Driveshaft Disconnect/Reconnect $200.00
Accident Recovery $1,900/hr (3-hr minimum)
Load Shift $890/hr (3-hr minimum)
Parts extra: Replacement Parts, Tires, Wheels

Company Information

Company Name

Contact Name

Email

Phone

Company Location

Company Address

Driver & Breakdown Information

Driver Full Name

Driver Phone

Describe the problem with your truck or trailer

Breakdown Location Example: Phoenix, AZ, I-10 Exit 147

Credit Card Information

Payment Terms: Your card will be charged ONLY AFTER service is completed.

Name on Card

Card Number

Month

Year

CVV

ZIP

I authorize MTS to charge this card ONLY after service is completed

Required Documents

Driver's License Photo Upload a clear photo of the driver's license

Credit Card Photo Photo showing the card number (front of card)

Digital Signature

Sign below using your mouse, trackpad, or finger (on mobile)

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