Credit Authorization Form

INSTRUCTIONS

1. Fill out this form completely.

2. Make a copy of the credit card's FRONT & BACK

3. Make a copy of the cardholder's driver's license

4. Email to [email protected]

Company Name:____________________________________________________________

Show Name:

________________________________________________________

Client:

_____________________________________________________________

CARD INFORMATION

Cardholder Name:

____________________________________________________________

Phone #:

____________________________________________________________

Credit Card billing address:

City:_____________________________________ Province:__________ Postal Code:___________

Credit Card # :_________________________________ Exp. Date:__________ CVC:______________

Card Type:     VISA          Mastercard            AMEX

Rentals Deposit

(*) The deposit amount will be authorized, with all holds being dropped after props have been returned and loss/damage charges have been paid. If the rented props stay out longer than the original rental period, your credit card will be charged the deposit. Deposits for all orders lasting longer than a three-week rental period will be automatically charged. Deposits will be refunded only once all props have been returned, and all loss/damage and open invoices have been paid. A minimum of (24) twenty-four hours advance written notice to: [email protected] is required to cancel. Orders cancelled with less than (24) twenty-four hours’ notice will be billed to the payment method on file for the full amount. A 3% acceptance fee will be charged for all credit card charges.

I hereby represent and warrant that I am an authorized user of this card, and I authorize P1 Props Inc. to use this card for payment of the above transaction(s). In the event that the props are not returned on the specified date, if the props are lost/ damaged, I hereby authorize P1 Props Inc to charge the credit card above for the subsequent rentals, loss/damage charges.

__________________________

SIGNATURE

__________________________

PRINT NAME

__________________________

DATE