CREDIT CARD AUTHORIZATION Face a Face Inc. and

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:______________________