| Name: | |
| Billing Address: |
| City: | State/Province: |
| Zip Code/Country: |
| Email address: |
Credit Card # __________________________ Phone # (Back of card)
Expiration
Date: _________________CVV#
____________
(3 Digit # on back of card, 4 Digit # on front of American Express)
|
Item Number |
Size |
Quantity |
Description |
Price |
By signing this agreement you authorize JMJ Ventures, Inc (AttitudeTees.com/JMJ
Ventures Inc) to charge your credit card in the above amount and agree to all
terms and conditions for credit card authorization and sales. You agree
not to charge back to the above merchant for this sale. You also agree to
the terms and conditions stated on the page when you click on "shipping info"
which can be found on the top of all main pages of our website AttitudeTees.com.
I Authorize JMJ Ventures, Inc (d/b/a AttitudeTees.com) to charge my credit card in
the amount of: $ Customer
Signature: __________________________________________
Date:
FAX NUMBER: 414-483-1930
THANK YOU.