About Paramount

Paramount - Credit Card Signature on File


Please print and fill out this credit signature card form. Fax to: (512) 263-7018
Attn: Accounting.  For the purpose of Credit Card Orders by phone, I the
undersigned ______________________ on: 9/7/2010 7:27:20 AM authorize
Paramount Computer Corporation the right to charge my account for the purchases
placed by the following individuals.

Authorized
Individuals:		 ______________________________________________
______________________________________________
______________________________________________


Cardholder Name: ___________________________________________
Cardholder Billing Address: ___________________________________
Cardholder City, State, Zip: ___________________________________
Cardholder Phone Number: ___________________________________

Check One: Visa Master Card American Express
Card Number: ________________________ Expiration Date: _______
Credit Card Phone Number: _____________________________

I (We) ceritfy that the above information is correct to the best of my
knowledge. If the information is incorrect, Paramount Computer
Corporation reserves the right to revoke any and all Credit Terms
granted. Paramount Computer Corporation will charge interest of 1.5%
per month on all invoices considered past due according to the Credit
Terms extended. I (We) agree to pay all reasonable Attorney fees or
Collection charges associated with the late payment of this account.

__________________________ ____________________
Signature Date


The customer will pay for all freight charges on refused shipments.

 

        HP Invent                  

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