I authorize ERICA CARRASCO to use my credit card for purchases from encGraphics Design Studio and Garibay Carrasco Enterprises (GCE).
Card holder signature: __________________________________
Date: ______________
Short Description of Order: _____________________________________________________
Please accept this letter as authorization to bill my credit card for the following length of time:
____ This order only (We will request this information with all orders even if using this card again.)
____ Until further notice.
Name of card holder (exactly as it appears on card): _____________________________________
Billing address (Complete address, exactly as it appears on credit card billing statement): __________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Last 4 digits of card: ________
Expiration date: __________
CVV code: __________ (On the back of card, in signature field)
Telephone number:______________________
Fax number: __________________________
A copy of the credit card (front and back) must be attached to this authorization.
Please make sure the copy is legible. Thank you for helping control credit card fraud.
