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Secure Transaction

Billing Information
First Name:
Last Name:
Country:
Address:
City:
State/Province:
Zip/Postal Code:
Phone Number:
Email Address:

Additional Information
By checking this box, I agree to the Terms of Service below:
Last Six of VIN #:
Salesman Name:

I authorize Haims Motors. to charge the credit card indicated in this web form, for the noted amount on today’s date. This payment is for Haims Motors products and/or services. I understand that returns, refunds and cancellations are subject to a restocking and or cancellation charge consistent with Haims Motors' terms & conditions. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, so long as the transaction corresponds to the terms indicated in this web form.