Credit_card_authorization_form by xiagong0815

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									                             Tortuga Imports Inc.
                   14202 SW 142 Avenue, Miami Florida 33186
                 Phone: (305) 378-6668 - Fax: (305) 378-0990
                       E-mail: sales@tortugaimports.com

                        CREDIT CARD AUTHORIZATION

DATE ________________________



THIS AUTHORIZES Tortuga Imports Inc. TO DEBIT MY ACCOUNT # LISTED BELOW FOR
RELATED TRANSPORTATION CHARGES.



NAME ON ACCOUNT _____________________________________________________


SIGNATURE _____________________________________________________________


CREDIT CARD # _________________________________________________________


EXP DATE _________________________ AMOUNT ___________________________


CIRCLE ONE:   VISA, MASTERCARD, DISCOVER, AMERICAN EXPRESS




ID# __________________________________ TYPE _____________________________




APPROVED BY TI REP: ___________________________

								
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