BUY.COM
ORDER AUTHORIZATION
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I hereby authorize and agree to allow my credit card purchase to be shipped to the location specified on my order.
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Place A Copy
Of Your Credit Card Here
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Place A Copy
Of Your Drivers License Here
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Please Print Credit Card Number
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Please Print Drivers License Number
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Please make a copy of this entire form, including the copies of your credit card and drivers license placed in the above squares,
and fax to 949-389-2827.
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BUY.COM Internal Use Only, PLEASE DO NOT WRITE IN THIS SPACE
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Order Number :
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Requested Ship to :
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Comments :
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