By submitting the form below, the undersigned gives Reed Restaurant Repair permission to charge the provided credit card for the agreed upon purchases and services. Customer Name* First Last Cardholder Email* Today's Date* MM slash DD slash YYYY Customer Signature*Authorization* I give permission to Reed Restaurant Repair to charge my card for services.My card details will be securely stored in my customer profile and will only be used for approved transactions including labor, parts, materials used and sales tax. Cancellations must be received at service@reedrestaurantrepair.com 1 week prior to due date.CAPTCHA