CREDIT CARD AUTHORIZATION Face a Face Inc. and WOOW accept credit cards for payment of your invoices or monthly statements. If you are interested in making payments by credit card, please fill out the authorization below and fax to our office at 866-531-7001 or email to [email protected]. CREDIT CARD INFORMATION Customer Number: Company Name: Address: City, State & Zip Code: Phone Number: BILLING INFORMATION Name on Credit Card: Email for Credit Card Receipt: CREDIT CARD INFORMATION Type of Credit Card Credit Card Number Exp. Date Security Code Master Card Visa Amex AUTHORIZATION (Please check on box and sign at the bottom) I hereby authorize my credit card to be debited on the ____15th or ____ 30th of each month for my monthly statement. Signature:____________________________________ Date:______________________
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