Please fill out this form and submit to our office along with a copy of your drivers license. This will enable us to charge your Credit Card for payment of services.

Cardholder Name *
Cardholder Name
Billing Address *
Billing Address
Checkbox *
By checking the box below, you agree that your credit/debit card will be charged for the services provided, at the rate specified in your invoice/contract. Timeline Cinema charges a 4% fee on all credit/debit card transactions.