CREDIT CARD AUTHORIZATION

EVENT RESOURCES -11041 Santa Monica Blvd, # 409
Los Angeles, CA 90025 -866 307 4955 - f 866 219 9936 
sales@stacking-chairs-tables.net
Invoice #_____________

Billing Info

Name: _______________________Company:____________________________

Address:___________________________City:______________ St:___ Zip:_____

Telephone#: _____________ Fax#: ______________ Email: _____________

Shipping Info  ___ Check if same as Billing

Name: _____________________Company:____________________________

Address:___________________City:________________ St:___ Zip:_____

Telephone#: _______________ Fax#: ____________ Email: _____________

  Style # and Description_______________    QTY________ PRICE_________

1.________________________________________________ _____ ______

2.________________________________________________ _____ ______

3.________________________________________________ _____ ______

Shipping._________________

TOTAL________________________________________________________

___ VISA  __ MasterCard ___ American Express ____

      Name as it is on card  __________________________________
     
      Card #: ___________________________________ Expire MM/YR: _________

      Code Number (last three digits on back of card):________

  Signature as it is on card: ___________________________________               THANK YOU