HomeMy WebLinkAboutCAT APPAREL CREDIT CARD AUTH. FORM i
-1� A �X
Spec
Premium Promotional Products
I , do hereby authorize C.A.T. Specialties, Inc
to bill my Master Card / Visa / American Express card — _one time only*
(*With the exception of shipping charges A separate transaction may be made at time of
shipment)
or _ for all my future purchases.
Card Number Exp Date: _
Security Number
MC/Visa last 3 digits on back of card. American Express 4 digits on front upper right side above account#
Cardholder's Name Business Name & Address:
And Credit Card Billing Address
X
Name (Please Print) Authorized Signature
Date: Order Number
Amount $ _
Phone #
(In case there is a question regarding your card)
Please Fax Completed Form To (626) 966-6495
Thank you for your order!
C.A.T. Specialties, Inc.
Rev 1-2012
16214 Arrow Highway Irwindale, CA 91706 Tel (626)966-8250 Fax(626)966-6495
www.catspecialties.com