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					                                               Credit Card Authorization Form




    Credit Card Type: Visa/MasterCard

    Expiration number:

    Card holder name (as shown on credit card)

    Card Billing Street Address


    Card City, State, Zip code




    Amount: $______________________
    *This amount represents the initial recurring monthly charge (as of the date signed). In the event Subscriber alters its service order
    (i.e., upgrades its order) the recurring charge will differ.
    AUTHORIZATION
    I hereby authorize Elite Tutoring to charge the indicated fees associated with HK partyzone rental
    provided, including, if necessary, adjustments for any changes to my account.

     I guarantee and warrant that I am the legal card holder for this credit card and that I am legally
    authorized to enter into this credit card billing agreement with HK partyzone.


    _______________________________________                                                           ________________
    Signature of Card holder                                                                              Date signed
:

				
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posted:10/5/2012
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