Intercity Lines Payment Authorization Form
Credit Card Payments can be made using a Visa or MasterCard. We do not accept American Express or other cards. We do not accept payment from 3rd parties.
Name on Credit Card:
Year, Make, & Model of the Vehicle being Transported:
Pick Up City & State:
Delivery City & State:
Cost of Transport:
For your security, we will call you for your credit card #. We typically run Credit Card payment’s once pick up has been scheduled 2-3 days before.
I, the cardholder, authorize Intercity Lines, Inc to charge my Visa or Mastercard for payment of the vehicle transport described above.
Leave this empty:
If you have questions about the contents of this document, you can email the document owner.
Document Name: Intercity Lines Payment Authorization Form
Agree & Sign