Credit Card Authorization

For your convenience, we accept VISA, MasterCard, and American Express credit cards. If you wish to order using your credit card, please fill out this authorization form completely and return it to us as soon as possible with a photocopy of your credit card. We need to receive this authorization before your order is shipped. ___________ ________________ Security Code:_______________ Please print the following information clearly: Cardholder’s Name (as it appears on card): Cardholder’s Address: City/ State/ Zip: Company Name: Resale Number: Email: Payment option, Please circle one: MasterCard Visa AmEx Invoice Number:___________________ Invoice Amount:___________________ Convenience Fee: ADD 3% TO INVOICE AMOUNT Total Amount: ____________________ Card Number: Exp: I hereby authorize, PFD Apparel., Inc. to charge my credit card for the amount of: $ , and agree to all terms and conditions of the invoice. I agree that I will pay for this purchase and indemnify and hold PFD Apparels harmless against any liability pursuant to this authorization. I understand that my signature on this form will serve as authorized signature on the credit card charge slip. By signing this Credit Card Authorization Form, I declare that I have fully read, understand and agree to abide by the Terms and Conditions of PFD Apparels as stated on the invoice. Cardholder’s Signature: Date: __________