Delco Innovations- Secure CC Form

Upfront CC Payment Authorization

Company Profile

Payment Information

Authorization Consent

I certify that I am an authorized user of this credit card/bank account and will not dispute the transactions with my bank or credit card company, provided the transactions correspond to our contractually established payment terms and orders placed.

Guaranty

To induce Delco Innovations, LLC. & Trend Medical, LLC. to sell goods to the applicant, the undersigned agrees to the above terms, which are herein incorporated and personally guarantees and agrees to pay, when due. Upon demand, the total amount of any indebtedness, including attorney fees and costs incurred for collections, owed to Delco by the applicant in connection with such sales.