Please Print this form and follow instructions:

DATE:                       .

YOUR COMPANY NAME                                                                .
FAX #                    -                   -                            .

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#___________

  Your Signature:                                                             .     Date :          /          /                    .

 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
HERE

Place your CREDIT CARD
HERE

 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