Document 4vRZRgenerJ5gKOeM5eBRYrVQ

der% Irillinam-! AUTO ALLIANCE DRIVING INNOVATION" Authorization Agreement for Credit Card Payments Vendor Name: Vendor Address: texie5 Ex. 6 Personal Privacy (PP) Name on Card: Type of Card (AMEX/Visa/MasterCard) v-an se_k rcx Address on Card (if different from above): Card Number: Amount: Ex. 6 Personal Privacy (PP) _._Exiairation.Date.inarithLyear Ex. 6 Personal Privacy (PP) Authorized Signature: Today's Date Ex. 6 Personal Privacy (PP) 2_2.1 Card Security Cod( Ex. 6 ion back of card) Person to contact from vendor regarding the information on this form: Name: Phone Number: Ex. 6 Personal Privacy (PP) Email Address: 01) dance of Automobile Manufacturers Blaittroup a Chrysler Group LLC Ford Motor Company General Motors Company jaguar LandRover Mazda Mercedes-Benz USA Mitsubishi Motors Porsche Toyota Volkswagen Volvo 803 TH' St N.W, Suite 3U0. WiAshingR)11. DC 20001. 'Motto 202.32.6.5300 ii;ix 202.326.5567 www.Nut(tallittuc;. ..arg. 2024-EPA-05254 Sierra Club FOIA 2024-EPA-05254 ED_017426_00001222-00001 SC_EVERSPLIT0000778