Computer Consulting Miami
CREDIT CARDS
CREDIT CARDS


                                CREDIT CARD AUTHORIZATION

    Use this form to charge product purchases or service calls with us.  

    PRODUCTS PURCHASED will be charged to your credit card when you place
    the order with us by phone.  At that time, we will tell you the amount to enter
    below, including the sales tax.

    FOR SERVICE CALLS, we will AUTHORIZE your credit card for $250.00, but
    will charge nothing until the service call is completed.  Upon completion of the
    service call, the actual service call dollar amount will be charged to your
    credit card.
    ____________________________________________________________________________________________________________________________________

    TO:  TODAY'S COMPUTERS

    PLEASE CONSIDER THIS TO BE MY AUTHORIZATION TO CHARGE MY CREDIT
    CARD AS FOLLOWS:
TODAY'S DATE
NAME ON CREDIT CARD
AMOUNT TO AUTHORIZE OR CHARGE
CREDIT CARD NUMBER
CREDIT CARD STREET ADDRESS
CREDIT CARD CITY / STATE / ZIP
EXPIRATION DATE
SECURITY CODE (3 OR 4 NUMBERS)
NAME OF PERSON AUTHORIZING
THIS PURCHASE IF DIFFERENT
FROM NAME ABOVE.
YOUR INITIALS HERE TO APPROVE
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