{"id":2068,"date":"2021-07-21T16:39:57","date_gmt":"2021-07-21T16:39:57","guid":{"rendered":"http:\/\/gatscomp.net\/logistics\/?page_id=2068"},"modified":"2025-05-09T21:17:22","modified_gmt":"2025-05-09T21:17:22","slug":"card-authorization","status":"publish","type":"page","link":"https:\/\/gatscomp.net\/logistics\/card-authorization\/","title":{"rendered":"Card Authorization"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"2068\" class=\"elementor elementor-2068\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-798d3b1 elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"798d3b1\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-243dad6\" data-id=\"243dad6\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-587aab8 elementor-widget elementor-widget-button\" data-id=\"587aab8\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.gatscomp.net\/logistics\/forms\/CardAuthorization.pdf\" target=\"_blank\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">CARD AUTHORIZATION PDF <\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-c30f42c elementor-widget elementor-widget-shortcode\" data-id=\"c30f42c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"shortcode.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-shortcode\"><style type=\"text\/css\">.super-form-2044 > * {visibility:hidden;}<\/style><div id=\"super-form-2044\" style=\"margin:0px 0px 0px 0px;\"class=\"super-form super-form-2044 style-default super-field-size-medium\" data-hide=\"true\" data-field-size=\"medium\"\"><form autocomplete=\"on\"><input type=\"hidden\" name=\"super_ajax_nonce\" value=\"fbb91a6eba\" \/><input type=\"text\" name=\"super_hp\" size=\"25\" value=\"\" \/><div class=\"super-shortcode super-field super-hidden\"><input class=\"super-shortcode-field\" type=\"hidden\" value=\"2044\" name=\"hidden_form_id\" \/><\/div><div class=\"super-shortcode super-field super-heading  super-ungrouped  \"><div class=\"super-heading-title\"><h2 style=\"font-size:33px;color:#444444;font-weight:100;text-align:center;margin:0px 0px 0px 0px;line-height:normal;\">CREDIT CARD PAYMENT AUTHORIZATION FORM<\/h2><\/div><\/div><div class=\"super-grid super-shortcode\"><div class=\"super-shortcode super_one_third super-column column-number-1 grid-level-0 first-column \"><div class=\"super-shortcode super-field super-text  super-ungrouped  \"><div class=\"super-field-wrapper \"><input class=\"super-shortcode-field\" type=\"text\" name=\"CarrirersName\" data-validation=\"empty\" data-email=\"CARRIER'S NAME:\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" placeholder=\"CARRIER&#039;S NAME\" \/><\/div><div class=\"super-error-msg\">Field is required!<\/div><\/div><\/div><div class=\"super-shortcode super-field super-heading  super-ungrouped  \"><div class=\"super-heading-description\" style=\"font-size:19px;color:#444444;font-weight:300;text-align:left;margin:0px 0px 0px 0px;line-height:normal;\">I hereinafter called CARRIER do hereby authorize Gatscomp Logistics, hereinafter called DISPATCH, to initiate a weekly debit entry for the amount listed below, on the dates listed below, to the credit card account indicated below, inconsideration of the dispatching service provided to me. I understand that my signature on this authorization form, along with a photocopy of the front and the back of both my credit card, as well as my driver license, will allow me the convenience of not having to produce these items for impression at the time of service.<\/div><\/div><div class=\"super-shortcode super_two_third super-column column-number-2 grid-level-0  \"><div class=\"super-shortcode super-field super-heading  super-ungrouped  \"><div class=\"super-heading-description\" style=\"font-size:19px;color:#444444;font-weight:300;text-align:left;margin:0px 0px 0px 0px;line-height:normal;\">NAME ON THE CARD:<\/div><\/div><div class=\"super-shortcode super-field super-text  super-ungrouped  \"><div class=\"super-field-wrapper \"><input class=\"super-shortcode-field\" type=\"text\" name=\"field_oSWhw\" data-validation=\"empty\" data-email=\"NAME ON THE CARD:\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" placeholder=\"NAME ON THE CARD\" \/><\/div><div class=\"super-error-msg\">Field is required!<\/div><\/div><div class=\"super-shortcode super-field super-heading  super-ungrouped  \"><div class=\"super-heading-description\" style=\"font-size:19px;color:#444444;font-weight:300;text-align:left;margin:0px 0px 0px 0px;line-height:normal;\">PLEASE CHECK CARD TYPE:<\/div><\/div><div class=\"super-shortcode super-field super-checkbox  super-ungrouped   display-horizontal\"><div class=\"super-field-wrapper \"><label class=\"super-item\" ><input type=\"checkbox\" value=\"VISA\" \/>VISA<\/label><label class=\"super-item\" ><input type=\"checkbox\" value=\"MC\" \/>MC<\/label><label class=\"super-item\" ><input type=\"checkbox\" value=\"DISC\" \/>DISC<\/label><label class=\"super-item\" ><input type=\"checkbox\" value=\"AMEX\" \/>AMEX<\/label><input class=\"super-shortcode-field\" type=\"hidden\" name=\"CardTypeoption\" value=\"\" data-validation=\"empty\" data-email=\"CARD TYPE OPTION:\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" \/><\/div><div class=\"super-error-msg\">Field is required!<\/div><\/div><div class=\"super-shortcode super-field super-heading  super-ungrouped  \"><div class=\"super-heading-description\" style=\"font-size:19px;color:#444444;font-weight:300;text-align:left;margin:0px 0px 0px 0px;line-height:normal;\">EXPIRATION DATE, AUTH# & ZIP OF THE CARD:<\/div><\/div><div class=\"super-grid super-shortcode\"><div class=\"super-shortcode super_one_third super-column column-number-1 grid-level-1 first-column \"><div class=\"super-shortcode super-field super-date  super-ungrouped  \"><div class=\"super-field-wrapper \"><input class=\"super-shortcode-field super-datepicker\" type=\"text\" autocomplete=\"off\"  value=\"\" \r\n        name=\"CCExpirationDate\" \r\n        data-format=\"dd-mm-yy\" \r\n        data-jsformat=\"dd-MM-yyyy\" \r\n        data-connected-min=\"\" \r\n        data-connected-min-days=\"1\" \r\n        data-connected-max=\"\" \r\n        data-connected-max-days=\"1\" \r\n        data-range=\"-100:+5\" \r\n        data-first-day=\"1\" data-work-days=\"true\"data-weekends=\"true\" data-message=\"EXPIRATION DAATE\" data-validation=\"empty\" data-email=\"CREDIT CARD EXPIRATION DATE:\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" placeholder=\"CC EXPIRATION DATE\" readonly=\"true\" \/><\/div><div class=\"super-error-msg\">EXPIRATION DAATE<\/div><\/div><\/div><div class=\"super-shortcode super_one_third super-column column-number-2 grid-level-1  \"><div class=\"super-shortcode super-field super-text  super-ungrouped  \"><div class=\"super-field-wrapper \"><input class=\"super-shortcode-field\" type=\"text\" name=\"CCAuthNumber\" data-validation=\"empty\" data-email=\"CARD AUTHORIZATION #:\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" placeholder=\"CARD AUTHORIZATION #\" \/><\/div><div class=\"super-error-msg\">Field is required!<\/div><\/div><\/div><div class=\"super-shortcode super_one_third super-column column-number-3 grid-level-1  \"><div class=\"super-shortcode super-field super-text  super-ungrouped  \"><div class=\"super-field-wrapper \"><input class=\"super-shortcode-field\" type=\"text\" name=\"CardZipCode\" data-message=\"ENTER CARD ZIP CODE\" data-validation=\"empty\" data-email=\"CARD ZIP CODE:\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" placeholder=\"CARD ZIP CODE\" data-minlength=\"4\" \/><\/div><div class=\"super-error-msg\">ENTER CARD ZIP CODE<\/div><\/div><\/div><\/div><\/div><\/div><div class=\"super-grid super-shortcode\"><div class=\"super-shortcode super_one_third super-column column-number-1 grid-level-0 first-column \"><\/div><\/div><div class=\"super-grid super-shortcode\"><div class=\"super-shortcode super_one_full super-column column-number-1 grid-level-0 first-column \"><div class=\"super-grid super-shortcode\"><div class=\"super-shortcode super_one_third super-column column-number-1 grid-level-1 first-column \"><div class=\"super-shortcode super-field super-heading  super-ungrouped  \"><div class=\"super-heading-description\" style=\"font-size:19px;color:#444444;font-weight:300;text-align:left;margin:0px 0px 0px 0px;line-height:normal;\">AUTHORIZED WEEKLY PAYMENT:<\/div><\/div><div class=\"super-shortcode super-field super-dropdown  super-ungrouped  \"><div class=\"super-field-wrapper \"><input type=\"hidden\" class=\"super-shortcode-field\" value=\"\" name=\"LoadPercentageOption\" data-message=\"CHOOSE LOAD PAY PERCENTAGE\" data-validation=\"empty\" data-email=\"LOAD PERCENTAGE OPTION:\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" placeholder=\"- select a option -\" \/><input type=\"text\" name=\"super-dropdown-search\" value=\"\" \/><ul class=\"super-dropdown-ui\"><li data-value=\"\" class=\"super-item super-placeholder\">- select a option -<\/li><li class=\"super-item\" data-value=\"9% PER LOAD (DISP ONLY)\" data-search-value=\"9% PER LOAD (DISP ONLY)\">9% PER LOAD (DISP ONLY)<\/li><li class=\"super-item\" data-value=\"10% PER LOAD (DISP, RECORDS)\" data-search-value=\"10% PER LOAD (DISP, RECORDS)\">10% PER LOAD (DISP, RECORDS)<\/li><li class=\"super-item\" data-value=\"12% PER LOAD (DISP, RECORDS, MAINT)\" data-search-value=\"12% PER LOAD (DISP, RECORDS, MAINT)\">12% PER LOAD (DISP, RECORDS, MAINT)<\/li><\/ul><span class=\"super-dropdown-arrow\"><\/span><\/div><div class=\"super-error-msg\">CHOOSE LOAD PAY PERCENTAGE<\/div><\/div><\/div><div class=\"super-shortcode super_one_half super-column column-number-2 grid-level-1  \"><div class=\"super-shortcode super-field super-heading  super-ungrouped  \"><div class=\"super-heading-description\" style=\"font-size:19px;color:#444444;font-weight:300;text-align:left;margin:0px 0px 0px 0px;line-height:normal;\">START & END DATES:<\/div><\/div><div class=\"super-grid super-shortcode\"><div class=\"super-shortcode super_one_half super-column column-number-1 grid-level-2 first-column \"><div class=\"super-shortcode super-field super-date  super-ungrouped  \"><div class=\"super-field-wrapper \"><input class=\"super-shortcode-field super-datepicker\" type=\"text\" autocomplete=\"off\"  value=\"\" \r\n        name=\"PaymentStartDate\" \r\n        data-format=\"dd-mm-yy\" \r\n        data-jsformat=\"dd-MM-yyyy\" \r\n        data-connected-min=\"\" \r\n        data-connected-min-days=\"1\" \r\n        data-connected-max=\"\" \r\n        data-connected-max-days=\"1\" \r\n        data-range=\"-100:+5\" \r\n        data-first-day=\"1\" data-work-days=\"true\"data-weekends=\"true\" data-message=\"PAYMENT START DATE\" data-validation=\"empty\" data-email=\"PAYMENT START DATE:\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" placeholder=\"PAYMENT START DATE\" readonly=\"true\" \/><\/div><div class=\"super-error-msg\">PAYMENT START DATE<\/div><\/div><\/div><div class=\"super-shortcode super_one_half super-column column-number-2 grid-level-2  \"><div class=\"super-shortcode super-field super-date  super-ungrouped  \"><div class=\"super-field-wrapper \"><input class=\"super-shortcode-field super-datepicker\" type=\"text\" autocomplete=\"off\"  value=\"\" \r\n        name=\"PaymentEndDate\" \r\n        data-format=\"dd-mm-yy\" \r\n        data-jsformat=\"dd-MM-yyyy\" \r\n        data-connected-min=\"\" \r\n        data-connected-min-days=\"1\" \r\n        data-connected-max=\"\" \r\n        data-connected-max-days=\"1\" \r\n        data-range=\"-100:+5\" \r\n        data-first-day=\"1\" data-work-days=\"true\"data-weekends=\"true\" data-message=\"PAYMENT END DATE\" data-validation=\"empty\" data-email=\"PAYMENT END DATE:\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" placeholder=\"PAYMENT END DATE\" readonly=\"true\" \/><\/div><div class=\"super-error-msg\">PAYMENT END DATE<\/div><\/div><\/div><\/div><\/div><div class=\"super-shortcode super-field super-heading  super-ungrouped  \"><div class=\"super-heading-description\" style=\"font-size:19px;color:#444444;font-weight:300;text-align:left;margin:0px 0px 0px 0px;line-height:normal;\">This authorization is to remain in full force and effect until the ending date listed above. I understand that I will be notified via email when DISPATCH debit my account each week. I understand that if the load is tendered and accepted by me, but for any reason, whether is due to carrier, shipper, or broker, the load gets reschedule or cancelled I am still responsible for paying DISPATCH as set out above. Any revocation shall not be effective until DISPATCH is notified by CARRIER in writing to cancel this automatic payment authorization, in such time and in such a manner as to afford DISPATCH a reasonable opportunity to act on it.<\/div><\/div><\/div><div class=\"super-grid super-shortcode\"><div class=\"super-shortcode super_one_half super-column column-number-1 grid-level-1 first-column \"><div class=\"super-shortcode super-field super-file  super-ungrouped  \"><div class=\"super-field-wrapper \"><div class=\"super-fileupload-button\"><i class=\"fas fa-plus\"><\/i><span class=\"super-fileupload-button-text\">UPLOAD CARD HOLDER SIGNATURE<\/span><\/div><input class=\"super-shortcode-field super-fileupload\" type=\"file\" name=\"files[]\" data-file-size=\"5\" data-upload-limit=\"0\" data-accept-file-types=\"jpg|jpeg|png|gif|pdf|JPG|JPEG|PNG|GIF|PDF\" data-url=\"https:\/\/gatscomp.net\/logistics\/wp-content\/plugins\/super-forms\/uploads\/php\/\" \/><input class=\"super-active-files\" type=\"hidden\" value=\"\" name=\"CardHolderSignatureFile\" data-message=\"UPLOAD CARD HOLDER SIGNATURE\" data-email=\"UPLOAD CARD HOLDER SIGNATURE:\" data-exclude=\"0\" data-absolute-default=\"\" \/><div class=\"super-progress-bar\"><\/div><div class=\"super-fileupload-files\"><\/div><\/div><div class=\"super-error-msg\">UPLOAD CARD HOLDER SIGNATURE<\/div><\/div><\/div><div class=\"super-shortcode super_one_half super-column column-number-2 grid-level-1  \"><div class=\"super-shortcode super-field super-date  super-ungrouped  \"><div class=\"super-field-wrapper \"><input class=\"super-shortcode-field super-datepicker\" type=\"text\" autocomplete=\"off\"  value=\"\" \r\n        name=\"AuthorizationDate\" \r\n        data-format=\"dd-mm-yy\" \r\n        data-jsformat=\"dd-MM-yyyy\" \r\n        data-connected-min=\"\" \r\n        data-connected-min-days=\"1\" \r\n        data-connected-max=\"\" \r\n        data-connected-max-days=\"1\" \r\n        data-range=\"-100:+5\" \r\n        data-first-day=\"1\" data-work-days=\"true\"data-weekends=\"true\" data-message=\"ENTER AUTHORIZATION DATE\" data-validation=\"empty\" data-email=\"AUTHORIZATION DATE\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" placeholder=\"AUTHORIZATION DATE\" readonly=\"true\" \/><\/div><div class=\"super-error-msg\">ENTER AUTHORIZATION DATE<\/div><\/div><div class=\"super-shortcode super-field super-text  super-ungrouped  \"><div class=\"super-field-wrapper \"><input class=\"super-shortcode-field\" type=\"email\" name=\"CardHolderEmail\" data-message=\"ENTER CARD HOLDER EMAIL ADDRESS\" data-validation=\"email\" data-email=\"CARD HOLDER EMAIL ADDRESS:\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" placeholder=\"CARD HOLDER EMAIL ADDRESS\" \/><\/div><div class=\"super-error-msg\">ENTER CARD HOLDER EMAIL ADDRESS<\/div><\/div><\/div><\/div><div class=\"super-shortcode super-field super-textarea  super-ungrouped  \"><div class=\"super-field-wrapper \"><textarea class=\"super-shortcode-field\" name=\"Carrier_Additional_Information\" data-email=\"CARRIER'S ADDITIONAL INFORMAITON:\" data-exclude=\"0\" data-absolute-default=\"\" data-default-value=\"\" placeholder=\"ADDITIONAL INFORMAITON\" ><\/textarea><\/div><div class=\"super-error-msg\">Field is required!<\/div><\/div><\/div><\/div><div class=\"super-shortcode super-field super-html  super-ungrouped  \"><div class=\"super-html-content\"><a href=\"http:\/\/britjen.com\/howtos\/video\/HowToSaveSignature.mp4\" target=\"_blank\"><img decoding=\"async\" alt=\"\" src=\"http:\/\/britjen.com\/images\/content\/HowToSaveSignature.png\" width=\"300\"><\/a><br \/>\n<br \/>\n<iframe src=\"https:\/\/nosbiz.com\/signature\/clients\/driverprofile\" width=\"700\" height=\"473\"><\/iframe><\/div><textarea><a href=\"http:\/\/britjen.com\/howtos\/video\/HowToSaveSignature.mp4\" target=\"_blank\"><img decoding=\"async\" alt=\"\" src=\"http:\/\/britjen.com\/images\/content\/HowToSaveSignature.png\" width=\"300\"><\/a><br \/>\n<br \/>\n<iframe src=\"https:\/\/nosbiz.com\/signature\/clients\/driverprofile\" width=\"700\" height=\"473\"><\/iframe><\/textarea><\/div><div data-color=\"#f26c68\" data-light=\"#ff807c\" data-dark=\"#d44e4a\" data-hover-color=\"#444444\" data-hover-light=\"#585858\" data-hover-dark=\"#262626\" data-font=\"#ffffff\" data-font-hover=\"#ffffff\" data-radius=\"square\" data-type=\"flat\" class=\"super-extra-shortcode super-shortcode super-field super-form-button super-clear-none super-button super-radius-square super-type-flat super-button-medium super-button-align-left super-button-width-auto\"><div data-href=\"\" class=\"super-button-wrap no_link\"><div class=\"super-button-name\" data-action=\"submit\" data-status=\"\" data-status-update=\"\" data-loading=\"Loading...\">Submit<\/div><span class=\"super-after\"><\/span><\/div><\/div><\/form><span class=\"super-load-icon\"><\/span><\/div><\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>CARD AUTHORIZATION PDF<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"give_campaign_id":0,"footnotes":""},"class_list":["post-2068","page","type-page","status-publish","hentry"],"campaignId":"","_links":{"self":[{"href":"https:\/\/gatscomp.net\/logistics\/wp-json\/wp\/v2\/pages\/2068","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/gatscomp.net\/logistics\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/gatscomp.net\/logistics\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/gatscomp.net\/logistics\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/gatscomp.net\/logistics\/wp-json\/wp\/v2\/comments?post=2068"}],"version-history":[{"count":10,"href":"https:\/\/gatscomp.net\/logistics\/wp-json\/wp\/v2\/pages\/2068\/revisions"}],"predecessor-version":[{"id":4001,"href":"https:\/\/gatscomp.net\/logistics\/wp-json\/wp\/v2\/pages\/2068\/revisions\/4001"}],"wp:attachment":[{"href":"https:\/\/gatscomp.net\/logistics\/wp-json\/wp\/v2\/media?parent=2068"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}