Deposit Service Payment Agreement
Company Name:
Mailing Address:
______________________________
_________
Street
_______________
Zip
City/State
Contact:


____________________
Title
Name
( ___)___
Business Phone
( ___) ______
Business Fax
(
)
Pager/ Cell
Our payment policy requires payment in full prior to the rendering of services.
Payment for all orders must be guaranteed with a credit card authorization. However, other forms of
payment are acceptable.
Credit Card Holder’s Name:
___________
Card Holder’s Billing Address:
Street
Visa
Amex
MC
Card Number:
_____
Zip
City/State
Discover
________________________________________
Expiration Date:_________ /___________
CVD Security Code: ______________________
Credit Card Holder’s Signature:
The following people are authorized to make additions to my contract once on site.
Name: ___________________________
Title: _______________________________
Name: ___________________________
Title: _______________________________
Name: ___________________________
Title: _______________________________
I certify that the above information is correct. I have read and understand the policies
and procedures.
Authorized Signature
Catering Phone: 832-842-3116
_____
Title
Date
______