PACIFIC
COAST STAR
Phone: (509)466-3410
Fax: (509) 466-3475
info@pacificcoaststar.com
www.pacificcoaststar.com
Credit
Card Authorization Charge Form
Autorização de
debito no cartão de credito
Autorizacion de
debito en la tarjeta de credito.
No Refund / Não
devolução/ No devolucion.
I_____________________________________________AUTHORIZE
PACIFIC COAST STAR TO
(Your name / Seu
nome / Su nombre)
CHARGE MY VISA____MASTERCARD___ (check one) ACCOUNT#_____________________________ EXPIRATION DATE________________
FOR TOTAL AMOUNT
OF US$
_____________________________________________
I
___________________________________________________________________ ACKNOWLEDGE
THAT THIS AMOUNT
IS THE VALUE OF
THE PRODUCTS QUOTED BY PACIFIC COAST STAR AND NOW BEING ORDERED. I WILL BE
FULLY RESPONSIBLE FOR ANY
INCONVENIENCE OR FRAUDULENT INFORMATION WHICH WILL CAUSE THIS TRANSACTION TO BE VOID.
|It
is your responsibility to understand the following: You will notice there have
been no shipping charges added to your order. Since shipping rates to these
areas change so frequently all shipping costs will be added to the card you
provided us only at the time the product ships. This charge will appear as a
seperate charge on your card. All shipping cost are non-refundable. If you wish
to know the amount of shipping before the product ships, it is your
responsiblility send us an e-mail with your name and order number, and we will
e-mail with the cost. The cost of shipping is determined by the rates of the
carriers. Once we send you the shipping costs, you must notify us within 24hrs
if you do not want the order to ship.
If you feel the shipping charges are too high, we will be happy to
cancel your order. If you do not contact
us within 24 hrs or before the product ships (whichever is shorter), you (the
customer) agrees to all risks and charges for shipping. It is at Pacific Coast
Star's sole descretion to ship products outside of the 48 states. We may cancel
an order at any time if we feel there is unnecesary risk involve for any reason
due to providing this service. The
customer agrees to all risks associated with shipping ítems internationally
including, but not limited to loss during shipping. If you do not agree to the
above you must notify us within 24 hrs of the purchase time.
____________________________________ __________________
AUTHORIZED SIGNATURE
DATE
ASSINATURA COMO NO
CARTÃO DATA
FIRMA COMO EN SU
TARJETA FECHA
ADDRESS WHERE YOU RECEIVE YOUR CREDIT
CARD INVOICE / ENDEREÇO ONDE RECEBE SUA FATURA DO CARTÃO DO CREDITO /
DIRECCION DONDE RECIBE SU FACTURA DE
TARJETA DE CREDITO_____________________________________________________________________________
______________________________________________________________________________________