Credit Card Type:_____________________

Name As It Appears On Card:________________________________________

Credit Card Number:_______________________________________

Credit Card Expiration Date:_________________

I ________________________ hereby authorize McGraw Motors, Inc.

to charge the amount of

$______________ for payment of invoice number ___________

to the card number listed herein. I certify that I am authorized

and able to provide this authorization.

I agree to pay the above total amount according to card issuer agreement

(merchant agreement if credit voucher).

Signature Of Card Holder______________________________________________

McGraw Motors Fax Number: 940 325 2556

Note: If you would like invoice and receipt mailed to you please include address.