CREDIT CARD FORM

Avid Digital, LLC. 20512 Crescent Bay Dr #106 • Lake Forest, CA 92630 Phone 949.713.5020 FAX 949.713.5022 www.AvidDigital.com

Company Name: First Name: Last Name:

Type of Card (CIRCLE ONE): VISA M/C AMEX

Card # Exp Date: Billing Address Street: Apt/Suite: City: State: Zip Code: Phone:

Amount:

SIGNATURE:

Security Code (on back)

I, ___________________________________________ , hereby authorize AVID DIGITAL to charge my credit card for the amounts invoiced. I understand that all custom printed products are non-refundable and I will not be given a refund after receiving my order. Customer Company Name: ______________________________________________