CREDIT CARD PROCESS FORM

I hereby authorize Lihow Merchandising Inc. to charge my account for the merchandise value. F.O.B. Foothill Ranch,
California,
plus incurred shipping charges.  I understand that if the order is not shipped complete, Lihow Merchandising Inc. will
only
charge my card for the items shipped.


__ VISA        __ MASTERCARD        __ AMERICAN EXPRESS        __ DISCOVER


CREDIT CARD No.:        ___________________________________ EXP. DATE: _________________

Cardholder’s Name:         ________________________________________________________________

Business Name:        _______________________________________________________________________

Telephone No.:        ________________________________ Fax No.: _______________________________

Credit Card Billing Address                __________________________________________________

City/State:        __________________________________________________

Postal/ZIP Code:         _______________

BACK ORDER: (Please Check One)

_ I DO authorize back orders to be charged on the same credit card.

_ I DO NOT authorize back orders.

RE-ORDERS: (Please Check One)

_ I DO authorize re-orders to be charged on the same credit card.

_ I will provide another payment method on re-orders.



Authorized Signature: _____________________________________________ Date: _________________