-Fax to: 818-243-1019

-Include a photocopy of card, front and back.

-Card must be signed.

This letter authorizes ASCAR Business Systems to charge the credit card listed below for the Sales Order or Invoice referenced. 

I understand that I am prepaying with this transaction prior to the delivery of such merchandise or performance of such services.  I understand and acknowledge that ASCAR has a No Refund No Return policy on all Invoices and services.

Card Holder Name:

Company Name:

Telephone:

Credit Card Billing
Street Address:

City, State and Zip:

S.O.#  or Invoice #:

Charge Amount:

Credit Card Type:

Card Number:
(no spaces/dashes)

Expiration Date:

Cardholder Signature: