If This is a Credit Card Payment, I also authorize this payment to be charged to my/our credit card account given. I agree to pay the total amount shown above in compliance with the cardholder agreement and that this is a special customer order, non-refundable or rendered cancelled. As part of this agreement, we, the customer stipulate we will not generate chargebacks/stop payments through our bank institution and a facsimile signature is to be considered as an original.

If this is a payment by Checking or Savings account, I also authorize this payment to be charged to my checking/savings account given. I agree to pay the total amount shown above in compliance with the agreement and that this is a special customer order, non-refundable or rendered cancelled. As part of this agreement, we, the customer stipulate we will not generate chargebacks/stop payments through our bank institution and a facsimile signature is to be considered as an original.