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					                                                  Co., Inc.
                                404 West 15th Street
                             New York, New York 10011
                               Phone: (212) 777-1150
                                Fax: (646) 638-3900



                AUTHORIZATION TO CHARGE CREDIT CARD


Customer’s Name: _____________________________________________________
(As It Appears On Credit Card)

Credit Card Billing Address:_____________________________________________

______________________________________________________________________

       I hereby authorize Prince Lumber Co., Inc. to charge my credit card for purchases
ordered and received in the name of
________________________________________________________. I also agree to
perform the obligations set forth by my credit card issuer with respect to all such
purchases placed on my credit card.

        Prince Lumber is hereby authorized to use to my _______________ (enter type of
card) credit card # ___________________________________, expiration date
________.



Cardholder’s Signature ____________________________________________.

				
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posted:9/29/2011
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