Credit Card Payment Authorization

• To pay invoices by credit card, complete the information section below and sign where indicated.
• We will process your credit card for the invoice amount of each purchase.
• Charged transaction will appear on your monthly credit card statement.
• You will receive a matching invoice for each purchase delivered by email or facsimile.
• You may cancel this credit card authorization at any time by contacting us.

Fax Signed & Completed Doc to: 1-866-718-9741