To Pay an invoice by Credit Card
Copy and Paste the following into an email, Filling in the needed details.
Jensen Entertainment Inc.
PO Box 72065
Roselle Illinois 60172 -630-351-1500
Please email or fax back sign copy to:
or 630-206-2339 (fax)
Jensen Entertainment Inc. Credit Card Authorization Form
Credit Card Account Authorization
Issuing Bank_____________________ Telephone #______________________
Credit Card Type Visa/MasterCard Account Number: _______________________
Expiration Date: __________________
Security Code: ____________________
Invoice Number # ________________
Cardholders Billing Name & Address
Statement of Authorization
The purposes of this statement, is to authorize Jensen Entertainment Inc. (also state forward as "the merchant") to process credit card transactions from the above stated applicant. These Transactions will be processed via phone orders.
I/we have read and agree to be bound by the Terms, Conditions, & and cancellation Rules in the Jensen Entertainment Inc. Sales contract & Invoice. I/we will not request a charge back through my/our credit card without first obtaining authorization from Jensen Entertainment. In addition, by signing this document I/we am/are accepting all responsibility for these transactions to ensure full and proper payment to the merchant.
Total Amount To Be Charged $__________ for the 50% deposit
Total Amount To Be Charged $__________ for payment in full
Cardholder acknowledges the amount shown above and agrees to perform the obligation set forth in the Cardholder's agreement with the issuer.
________________________ _____________________ ____/___/___
Name (type or print clearly) Authorized Signature Date