I do hereby authorize MAX FORMAL COMPANY to process credit card transactions from the information
provided hereon. I agree that credit card orders will be charged to my credit card account at the time of order. I
understand that and agree that Max Formal Company may charge the cost of an order to my credit card account
listed below, without having to obtain the undersigned’s signature on each individual credit card transaction.
I agree that it is my sole responsibility to notify MAX FORMAL COMPANY in writing of any changes to the
information listed below. MAX FORMAL COMPANY will not be held liable for any unauthorized purchases
and charges to the credit card account(s) listed below as a result of failure to receive written notifi cation of said
changes. I also agree that my company is fully responsible for any obligation not paid pursuant to this authorization.
My signature below confi rms that I have the authority to bind the business and/or person(s) named below as a customer to this agreement, and I understand and accept the terms and the conditions presented.