Phone 1-724-567-5689
Fax 1-724-568-3152
E-MAIL
LaurelAwnings@aol.com
To make a payment for your Awning(s)
by Mastercard or Visa credit card,
simply
fill out the following information and return this form to our office by mail
or by fax.
We
accept only Mastercard and Visa. Sorry, we are unable to accept other cards.
I
authorize Laurel Awning Company to charge my _____________ card in the
amount
of $_______________________ TO PAY INVOICE#_______________
MY
ACCOUNT NUMBER IS:________________________________________
MY
CARD “V” CODE:_____________________________________________
THE
EXPIRATION DATE IS:________________________________________
NAME:
_____________________________________________________
ADDRESS:_____________________________________________________
_____________________________________________________
SIGNATURE:_____________________________
DATE:____/____/________
ALL SALES ARE
FINAL - NO REFUNDS