Canada ComputerBooks Inc.
Ongoing Credit Card Authorization
Instructions
| I, _______________________, hereby authorize ________________________ to use my Visa / MasterCard / Amex card # ________________________ expiry date _______ for payment of any purchases made from Canada Computer Books Inc. I am aware that this is an ongoing authorization, which shall remain in effect until cancelled by me in writing. I confirm that my name, as it appears on my credit card, is ___________________, and that the billing address for this credit card is ___________________________________________. Cardholder Signature: _____________________________ Date: ____________________ |