Please Print this form and follow instructions:
DATE: . |
YOUR COMPANY
NAME
. |
CREDIT CARD
AUTHORIZATION
I, (Print
Name)
, give my permission to HI-TECH UNLIMITED to charge my credit card
(s) listed below for merchandise and/or services offered by HI-TECH UNLIMITED,
INCLUDING BUT NOT LIMITED TO INVOICE #_____________
DATED_____________
NUMBER : . |
EXP DATE:
. |
I authorize my employees to pick up, sign for and apply to this credit card number (s) said merchandise and/or service. Any changes to this authorization form will be given in writing prior to placing an order. All disputes shall be settled in and as per laws and jurisdiction of Fresno County, Calif.
YOUR SIGNATURE BELOW INDICATES YOUR CONSENT AND ACKNOWLEDGMENT OF THE AFOREMENTIONED TRANSACTION. NO REFUNDS NO EXCHANGES. LABOR OR MATERIALS WARRANTIES & GUARANTEES APPLY IN FULL AS PER INVOICE#___________
Please Place you Drivers License and Credit Card in
the appropriate box and make a photo copy of them and this form before faxing.
Please place
your DRIVERS LICENSE |
Place your
CREDIT CARD |
FAX BACK TO HI-TECH UNLIMITED (559) 445-0488 Call first. Or use 559-453-3331
Hi-Tech
Unlimited (559) 441-1111
Store Hours: Tues – Fri Noon
to 5:00pm Sat By appointment, PST