CREDIT CARD AUTHORIZATION // STATEMENT OF AUTHORIZATION:
PLEASE CALL THE OFFICE WITH YOUR CREDIT CARD NUMBERS. THIS FORM DOES NOT ALLOW CARD NUMBERS TO BE VISIBLE FOR THE CARDHOLDERS PROTECTION. TEL: 616.949.1847
The purpose is to authorize Foxy's Leotards (also stated as the merchant) to process credit card transactions from the below stated applicant. These transactions will be processed on past due invoices over 30 days. I / we will update the merchant upon the expiration date and/or other necessary information. By signing this document, l / we are accepting full responsibility for these transactions to ensure full and proper payment to the merchant. I/we understand that by signing this, I / we are authorizing the merchant to charge my credit card on all unpaid balances on my/our account, deliquent or otherwise.