June 10, 2019


I authorize LS Truck Tire Repair Inc to debit the credit card indicated in this form for the noted amount. I certify that I am an authorized user of this credit card or bank account, and that I will not dispute the payment with my Credit Card Company or Bank, so long as the transaction corresponds to the terms indicated in this form

At LS Truck Tire Repair Inc., our attentive staff is available Monday through Saturday to answer your questions and ensure you are 100% satisfied.

LS Truck Tire Repair Inc.
8701 Torresdale Ave Ste. A 
Philadelphia, PA  19136
Phone: 267-388-5642
 Fax: 267-388-5649