LEGENDS CARS OF GEORGIA

CREDIT CARD AUTHORIZATION

Name: ______________________________________________________

Street Address: _______________________________________________

City: ________________________ State: _____ Zip Code: ____________

Phone Number: _____________________ E-mail: ___________________

Credit Card Type: □ Visa □ Master Card □ Discover

Name on card: _______________________________________________

Credit Card Number: __________________________________________

Expiration Date: ______/_______

CCV Security Code: __________

Billing Zip Code: ____________ □ Same as above

Persons authorized to charge to this credit card number: __________________________

_______________________________________________________________________

_______________________________________________________________________

Authorized Signature: _____________________________________________________

All purchases through Legends of Georgia are required to be made with cash, check or credit card. This policy applies to both in store and at track transactions. We will continue to open personal charge tickets for a specific event at your local race track but you must have a valid credit card number on file with Legends of Georgia. All credit card transactions will be processed the next business day. Please note that if check or credit card transactions are declined at the bank there will be a $30 fee added to your account.

If in the past you had a credit card number on file with Legends of Georgia, please do not assume we have all of the necessary information needed. A recent change in credit card processors requires us to have the security code and billing zip code in order to process your credit card – this information was not necessary in the past..

We are asking that all customers complete this form and turn it in to Legends of Georgia at Atlanta Motor Speedway or you can bring it to the parts trailer at Lanier or Cordele. You can also fax this form to 770-707-4092. No charge purchases will be allowed if we do not have this information on file. The Parts Trailer will have a current list available – if your name is not on that list, you will need to complete this form.