Bytes Bits & Megabytes, OfficeByte Credit Card Authorization/Guarantee Form
This form is used to authorize Bytes Bits & Megabytes to establish automatic payment of your monthly and/or maintenance charges via credit card. You will still receive a monthly statement/invoice/receipt for your records with this option. This service is free if payment due is not over $1000. Please print this form, complete it, and return it to us via US Mail, fax, or e-mail:

        
Bytes, Bits & Megabytes
P.O. Box 180548
 Casselberry, FL  32718-0548

Phone 321-397-1105

FAX: 407-699-1203
E-mail: OfficeByte@BytesBits.com
             
Company:   
                
Contact:        
                
Address: 
              
City:                                                                                              State:                           Zip:
                 
Phone:                                                                                          Fax:

I would like to automatically pay for my Bytes Bits & Megabytes, OfficeByte Fees, and services each month with the credit card below. _________(Please, Initial here)
Personal Guaranty In consideration of the extension of credit to the applicant named hereon, the undersigned, as individual(s) and not as corporate officers, jointly, severally and unconditionally guaranties and promises to pay all amounts now owing or which may hereinafter become owing by the applicant.  This is a continuing guaranty and obligations arising hereunder shall not be affected by any change in terms of indebtedness, the extension of credit beyond amounts specified herein, a change in the term or time for payment, a chance in the form of indebtedness or the acceptance of security or collateral.  Vendor shall not be required to exhaust any remedies against applicant prior to exercising rights granted hereby.
           
Individual		 Date
                  
Individual		 Contact
                   
Credit Card Information
 Card Type: MASTER CARD    VISA     AMEX           CVV2 Code:                     (located on back of card)  
                  
Card Number:                                                                                             Exp. Date:
            
Name On Card:
Credit Card Billing Address: (Where you receive your credit card statements)
             
Address: 
             
City:                                                                                              State:                           Zip:

           
Authorization: I authorize Bytes, Bits & Megabytes, OfficeByte or its agents, to charge my card during the first week of each month for all fees due that month for the services I have subscribed to, until I notify them otherwise in writing. I also understand that the fees due will include the regular monthly fees for that month, and may include additional fees from the previous month if applicable. I also understand that the first charge placed on my card will include the balance already due on my account, if any. I agree to pay the above credit card charges in accordance with the Card Issuer Agreement.

            

I understand that Bytes, Bits & Megabytes, OfficeByte or its agents will automatically add a 5% processing fee to all charges of $1,000.00 or more. I understand that Bytes Bits & Megabytes will apply a chargeback fee to my account ($50.00 as of the time this is written), if I initialize a chargeback with my credit card issuer, to reverse payment without Bytes Bits & Megabytes permission of any of the charges authorized on this form, and I agree to pay this fee if this occurs. All charges are nonrefundable.
             

Thank you
 for your
 business!

  
         

Cardholder Signature

  

Date

    
         

Print Name Here

        

updated 05/23/2005 11:02:43 AM -0400

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