Credit Card Authorization Form For Services Rendered by Plumbing And Heating Paramedics

This form simply creates a pre-authorization on your credit card.

We will present an invoice to you so you can approve it before we charge your credit card.

By filling out and submitting this form, you authorize Plumbing Paramedics Inc to charge up to $1,000 on approved work, or $160 for a no-show fee on or after the date below.

No credit card information is stored on this website.

Thank you for your business.