CREDIT CARD AUTHORIZATION FORM - CAV D
CREDIT CARD AUTHORIZATION FORM
DATE
CUSTOMER ACCT
CREDIT CARD TYPE
EXPIRATION DATE
CREDIT CARD ACCT #
THE NAME ON THE ABOVE CREDIT CARD MUST MATCH THE NAME OF THE PERSON AUTHORIZING CHARGES.
I, (please print) authorize CAV DISTRIBUTING to charge the above credit card for all purchases posted to my account.
_______________________________________________
Cardholder’s Signature
You must include a copy of the above mentioned credit card – both front and back.
PLEASE FILL OUT & FAX THIS FORM ALONG WITH A PHYSICAL COPY OF THE ACTUAL CREDIT CARD TO (650) 872-2892.
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