Credit Card Authorization

First Name *

Last Name *

Company name

Email *

I would like JRZ Global Sports to keep this from on file for future orders. I will advise in writing on my purchase orders wheter to bill this account.

I hereby authorize JRZ Global Sports to use my credit card listed below for the merchandise that I have ordered and the associated shipping charges incurred.

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Card Number *

Cardholder Name *

CVV *

Expiration (mm/yy) *

I would like JRZ Global Sports to keep this from on file and bill this account for all future orders.

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Credit Card Authorization

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