OUTSTANDING
PO Box 274
Galena, MD 21635
410-275-1200
(fax)410-275-9142

I authorize Outstanding Marine to work on my vessel. I also understand that an expressed mechanics lien is acknowledged on said vessel until bill is settled for repair or maintenance. Also that attorney fees and interest will accrue on any unpaid invoices after 30 days until said bill is satisfied. Also that attorney fees will be subject bill if bill is not settled in a timely fashion in case credit card or check are declined.

I authorize them to charge my credit card up to a value of _______________within 15 days of receiving an invoice.

My credit card number is _________________________________________________

Expiration Date ___/___ CVS# _____

Street address credit card is mailed to:

____________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________City State Zip Code

Signature________________________________________________________________

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