DigiCombos | Digital Camera & Camcorder Packages DigiCombos.com

Credit Card Authorization

If you have any more questions, please call us at 1-888-424-4786 or e-mail us at info@DigiCombos.com

Customer Name/Authorized User				Order#
Credit Card Billing Address
City				State
Zip Code
Credit Card Type :		Visa	AMEX	Master Card	Discover
Name On Card				Bank Name On Card
Credit Card Number				Expiration Date:
Total Authorized Charge Amount

By signing document below I authorize DigiCombos to ship the goods associated with my charge to:
Name
Address
City
State
Zip

The goods are being shipped to which destination?
	My Work:
	As A Gift To:
	Other:
	Notes/Comments
Signature: ______________________________________________________________________________________________________
To Complete Your Order: Please double check to see that you filled out every field. We cannot process your order if you left anything blank. This form must be faxed to the above referenced number along with a copy of the front and back of your credit card. Your next credit card statement will reflect a charge from DigiCombos. WARNING: Credit card fraud is a felony. The provision of false credit card information is also fraud. Digicombos will aggressively prosecute anyone attempting to misuse credit card information that they do not own. You must print your card number. DigiCombos, Brooklyn, NY. Thank you.
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DigiCombos - Specialist in Digital Camera Combos, Camcorder combos - Canon, Nikon, Olympus, Pentax, Sony, Fuji