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How to download this form click on your control key and the p key at the same time and click ok on printer tab
example ctrl-p (together) FILL OUT ALL AREAS AND FAX BACK TO 702-363-0137 CREDIT CARD FORM PAYMENT BY CREDIT CARD Credit Card check list for (Telephone , Fax , Mail , Field Request or Email) Telephone ___ Fax ___ Mail ___ Field Request ___ Email ___ Types of Credit Card you will be using for this form Visa _____ Master Card _____ Discover _____ American Express _____ Japan Commerce Bank _____ Customer Credit Card Number ( it must be 16 Digits) ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ Expiration Date ( Use 2 Number for the Month and Year)Month ___ ___ Year ___ ___ V-Code ___ ___ ___ (Last 3 Numbers on the bank of the Credit Card) Card Holder Information Name _________________________________________________________________________________ Billing Address _________________________________________________________________________ City, State , Zip Code ___________________________________________________________________ Telephone ____________________________________________________________________________ Authorization for All Star Handyman I am the Card Holder for this account to be charged to All Star Handyman for Services to be paid by this Credit Card . The Service work has been performed to my satisfaction I release and do not hold any liability to All Star Handyman and its companies. For future service or concerns you must call the All Star Handyman Office at 702-360-7310 Customer Authorizes All Star Handyman to bill the amount not to exceed $ __________________ to be Charged to my Credit Card. DRIVER LICENSE OR STATE ID OF CARD HOLDER _____________________________________ Signing under penalty of perjury all the information is true and correct. _____________________________________________________________________________________ Signature of Credit Card Holder |
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