Job # (as it appears on your quote) *Company/Organization Name (if applicable)Email Address *Daytime Phone *Billing Street Address *Billing City *Billing State/Province *Billing ZIP / Postal Code *Billing Country *AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCabo VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweI, the undersigned, authorize Mastermind Event Rentals to charge the total amount of the order and/or any late/missing/damaged items for my job # as listed above to the credit card provided below. I understand the balance of my order is due 10 business days prior to the date taken as listed above. I understand that a maximum reduction of up to 20% (per item) can only be made up until 10 business days prior to the date taken (as listed above) to avoid the full charge of the contract as listed in the initial job confirmation. No refunds will be given once an order is paid in full. I understand that Mastermind Event Rentals is not responsible for errors made due to inaccurate or incomplete order information provided by myself. I understand that it is my responsibility to ensure that all order specific information is correct as outlined in the job order, including quantities, delivery information including location and timing (if applicable), setup information, such as floor plans or layouts (if applicable), pickup/removal information (if applicable) or additional charges may apply. I understand pickup and returns from the Mastermind warehouse MUST be done during regular business hours Monday to Friday between 9:30am-4:00pm. Pickups or returns are not guaranteed outside business hours. The warehouse is closed Saturdays, Sundays and holidays. If you fail to pick up or return your order outside of business hours additional fees may apply. I understand that my 50% non-refundable retainer, and this signed credit card authorization form serve as notification that I have read and understood the Mastermind Event Rentals terms and conditions agreement, available online at www.mmecanada.com as well as provided electronically in attachment format, and accept all terms and conditions without further modification or amendment. I understand a 8% Non-Refundable Damage Waiver (Service Fee) will be added to every order.Client Name (as it appears on credit card) *Credit Card Number *Please enter your credit card number without spaces.0 / 16Expiration Month *Please select...010203040506070809101112Year *Please select...202320242025202620272028202920302031203220332034203520362037203820392040CCV # *0 / 3Drivers License Number *This information is required for greater security to prevent fraudulent activity on your credit card.Signature of client *Start signing your signature hereYour browser does not support e-Signature field.Submit FormPlease do not fill in this field.