YOUR A & A INVESTING PTY LTD ABN 89 634 390 551 trading as RoadGo
Trading Address: Unit 1, 38 Barndioota Road, Salisbury Plains SA 5109
Telephone: 0422 309 212 | Email: info@test2.rezviy-bot.ru
This authority forms part of the RoadGo Vehicle Rental Agreement.
I authorise RoadGo to charge my nominated payment card for all amounts payable under the RoadGo Vehicle Rental Agreement, including rental charges, Security Bond, Standard Damage Excess, repair costs, tolls, infringement administration fees, cleaning fees, smoking or vaping fees, roadside assistance charges, recovery costs, unpaid rental charges, fuel charges, relocation fees, credit card fees and any other amount payable under the Agreement.
This authority survives the return of the Vehicle and expiry or termination of the Rental Agreement. I acknowledge that some charges, including tolls, infringements and damage costs, may arise after the Vehicle has been returned.
| Cardholder Name: | Card Type: |
| Card Number: | Expiry Date: |
| CVV (if collected securely): | Billing Address: |
| Authorised Amount / Ongoing Authority: | Booking Number: |
☐ I am authorised to use the nominated payment card.
☐ I will ensure sufficient funds are available.
☐ I understand RoadGo may retain card details securely through its payment provider.
☐ I understand disputed charges may be referred to debt recovery if unpaid.
| Cardholder Signature: | Date: |
| Renter Signature if different: | Date: |