Payment Portal

  • Dear Credit Card Holder,

    In order to charge your credit card when you are not present to sign the receipt, please complete this form with the current information and your electronic signature. This signature indicates that you authorize charges to be made to your credit card (below); for moving, storage and/or packing charges rendered by Road Scholars Moving & Storage.

    Complete form, prior to date(s) of service. Thank you for your help in preventing unauthorized charges to your credit card. We appreciate your business!

  • (Name of person/firm, the service is booked for)
  • MM slash DD slash YYYY

  • (Name of person, paying for services)

  • Credit Card Info

  • (We only accept MasterCard, Visa or Discover)
  • (Month and year)
  • (On reverse side of card)
  • (Zip code used to mail card statement)

  • MM slash DD slash YYYY