24/7 DISPATCH · TOWING & RECOVERYBRISTOL, TN + VA · THE TRI-CITIESVA: (276) 466-5641
BRISTOL WRECKER SERVICE · CUSTOMER BILLING

PAYMENT
AUTHORIZATION.

Complete and sign the payment authorization for your towing, roadside assistance, recovery or equipment transport service. This document confirms permission for a specific charge limit. Actual credit-card details must be provided separately through an approved secure payment method.

Bristol Wrecker company tow truck ready for service
CUSTOMER BILLING · PRIVATE SHAREABLE LINK
IMPORTANT PAYMENT SECURITY NOTICE

YOUR SIGNATURE.
NO CARD DETAILS IN EMAIL.

This authorization form captures customer details, the service or invoice, the maximum approved dollar amount, agreement to the terms, and a drawn signature. It does not capture or process a full payment card number.

NEVER enter your full credit card number, security code (CVV), expiration date, bank login information or payment PIN in this form or any email. Contact Bristol Wrecker for a separate secure payment method. Signing does not itself charge your card.
FOR DISPATCHERS & DRIVERS

Text the authorization form to a customer

Enter the customer’s phone number if available, then tap Open Text Message. Your messaging app will open with the form link prefilled. Check the recipient and tap Send. Leave the field empty to select a recipient in Messages.

The website opens your messaging app; it does not send the SMS automatically. On office computers without a text-messaging app, copy the form link into your existing dispatch software.

If the form does not display correctly on your device, open the signable form directly.

Submitted authorizations are reviewed by Bristol Wrecker. No payment is charged by this page. Billing questions: bristolwreckerservice@gmail.com or 423-968-2810.

BRISTOL WRECKER SERVICE · 24/7 DISPATCH

THE CREW TO CALL. START WITH DISPATCH.

Cars, work trucks, commercial vehicles—tell dispatch where you are and what needs moving.

CALL 24/7 DISPATCH423-968-2810