I understand that credit card approval is
a condition of shipment. Any credit card which is declined by the bank
can and will delay shipment of my order. I/We hereby expressly authorize
MARFRED INDUSTRIES to charge the credit card numbers listed below for
purchase orders and shipping charges. The people authorized to charge
on the credit card(s) listed below:
CREDIT CARDS TO BE
CHARGED
CARDHOLDER NAME
CARD HOLDER
SIGNATURE
ACCOUNT
NUMBER
EXP.
DATE
Mail this form back to Marfred
Industries - Credit Department, P.O. Box 2048, Sun Valley, CA 91353. If
faxed, the fax copy will be considered an original signature.
