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Big Joe Handling Systems, Inc. 25932 Eden Landing Rd. Hayward, CA 94545 PH: (510) 785-6900 ✦ FAX: (510) 785-0908 www.BigJoeLift.com

CREDIT CARD AUTHORIZATION FORM Thank you for using Big Joe California North, Inc. We accept payments by VISA, Mastercard, and American Express credit cards. In order to charge your credit card, please fill out the information below and then please return this form to us by FAX or E-Mail. Thank You.

FAX: (510) 785-0908

E-MAIL: accounting@bigjoelift.com

............................................................................................................

Company Name: _____________________________________________________ Contact Name : ________________________ Telephone#: ___________________ Please choose the type of Credit Card: VISA

MASTERCARD

AMERICAN EXPRESS

Credit Card Number:_________________________ Security Code:___________ Expiration Date :__________________ BiIIing Zip Code : ____________________ Card holder name : __________________________________________________ I hereby authorize Big Joe California North, Inc. to charge my Credit Card in the total amount of $ ___________________ . This amount represents payment for the following invoices:

Authorized Cardholder Signature:

__________________________

Date:

___________


Credit Card Authorization  

Credit Card Authorization http://www.bigjoelift.com/index.php/product/rfq_static/www.bigjoelift.com/literatures/CreditCardAuthorization/cre...

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