SOL-EFFECT ENTERPRICES INC.
PH: (626)599-8277
FX: (626)599-9897
CREDIT CARD AUTHORIZATION FORM
I, ------------------Authorize Sol-Effect Enterprises Inc.
To charge my credit card on the purchase of sporting goods and other merchandise
For the amount of $---------, and I do not need to sign again for future orders. If
ship to the same address again .
My 16 digits of credit card are:--------- -------- --------- ---------
Expiration date is:--------- 3 or 4 digit code #___________________________
Back side of my credit card customer service bank number:___________________
The billing address for my credit card ( where my statement is mail:
Name of credit card holder:---------------------------------
Address:_____________________________________________________
City, Zip Code:________________________________________________
Shipping address if it is other than the billing address please fill it up:
Attention to:_______________________________
Address:________________________________________________________
City, Zip Code:__________________________________________________
I, the card holder, agree to the above charges and authorize the charges to be placed
against my credit card, I further agree that the above information is correct and any
changes have been noted.
YOUR SIGNATURE:______________________________________________
please print it fill it up and fax to (626)599-9897
PLEASE PRINT AND FAX IT!!!!!!!!!!!!!!!!!