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ABS
Computers Inc
Credit Card Authorization Form
Please print this Authorization Form and fax to 1-215-612-7993
This
form is used to confirm that you are purchasing a computer and/or
components by using your own credit card. In order to complete this
transaction, please complete and fax this form by attaching a copy of
your drivers license and signature side of your credit card.( We
strongly recommend you will need to turn the copier to the lightest
setting.) Your order will not be processed until this confirmation is
returned to us. Thank
you for your cooperation.
Please
attach a legible copy
of your driver’s license
here:
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Please attach a legible copy of the signature
side of your credit card
here:
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Your
Customer/Confirmation Number_______________________
Cardholders Name
____________
____________________
FIRST NAME
LAST NAME
Credit Card Account # ______--_______--_______--________
Expiration Date ______________-
Billing
Address
Street
_________________________________
City ___________________
State________Zip Code_____________
Phone )___________________
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I
authorize ABS Computer to charge the purchase amount $_______to
my credit card and ship to the following address:
ATTN: ___________ __________
First
Name
Last Name
Address:
Street__________________
City___________________
State_______Zip Code_________
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Cardholder's Signature_________________________Date ___/____/____
Please fax back to ABS Computers Inc ASAP
Fax number)
E-Mail: abscomp
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