In order for us to charge your card for telephone or web orders
and to allow other employees or authorized persons to use your charge account,
you will need to complete this form, print it, sign it and send the original
to:
LV Sales, Inc., 1831 Hyperion Ave., Los Angeles, CA 90027-4745 (and/or
fax it to: 1-323-661-1314 or for business/trade customers only fax
1-800-976-8044). Once on file with us , you do not have to complete another
form until your expiration date changes or if you want to use a different
card or add or remove authorized employees/other users at YOUR discretion.
I, (Print name as on card)
OWNER, CARD HOLDER AND AUTHORIZED USER OF THE BELOW LISTED CREDIT CARD,
1) AUTHORIZE LV SALES, INC. TO CHARGE THE CREDIT CARD ACCOUNT LISTED BELOW
FOR ANY AND ALL PURCHASES MADE BY MYSELF AND THE BELOW LISTED EMPLOYEES
OR OTHER USERS AUTHORIZED BY ME, 2) AGREE TO MAKE PAYMENT ACCORDING TO MY
CARD TERMS AGREEMENT, AND 3) AGREE THAT THIS AUTHORIZATION IS GOOD FOR ALL
ORDERS AND DUE INVOICES UNTIL REVOKED BY ME IN WRITING TO LV SALES.
Additional persons authorized to purchase merchandise from LV Sales, Inc.
and charge to this credit card on my behalf are (If none, write "NONE"):
Print full names
(If I choose to fax this sheet, I agree that my faxed signature constitutes,
and is as good as, my original signature.)