CONSUMER DEPOT
CREDIT CARD AUTHORIZATION FORM
PH:(615) 851-2125
FAX:(615) 851-2126
AGREEMENT/CONTRACT
(MUST BE COMPLETED BY AUTHORIZED SIGNER)

I,                                                               AUTHORIZE CONSUMER DEPOT LLC TO CHARGE MY CREDIT

CARD FOR THE AMOUNT OF $                                                                PLUS FREIGHT CHARGES FOR PRODUCT DELIVERED TO THE ADDRESS INDICATED ON THIS FORM, PERSONS OTHER THAN MYSELF ARE AUTHORIZED TO SIGN AS MY AGENT FOR RECEIPT OF THIS PRODUCT AT THE ADDRESS AND AGREE TO THE TERMS & CONDITIONS BELOW. 
Name:
(As it appears on card)
  
Card Billing Address:
  
Address2:
  
City/State/Zip:
  
Home Phone:
  
Card Type:
 VISA                 MASTER                 DISCOVER                 AMEX                
Card Number:
                                                             Expiration:
Issuer Bank Phone #:
                                                        C.V.V #:             Click here for a diagram.

AUTHORIZED SIGNATURE :                                                           DATE :                                      

SHIPPING ADDRESS
(If Different than Billing)
Shipping Address:
  
Address2:
  
City/State/Zip:
  

SIGN TO AUTHORIZE DIFFERENT "SHIP TO"                                                               
TERMS AND CONDITIONS:
1.ALL SALES ARE FINAL.NO REFUNDS.
2. PRODUCTS MAY BE NEW, USED, RE-MANUFACTURED OR SOLD "AS IS". CONSUMER DEPOT OFFERS 90 DAY WARRANTY ON ALL SYSTEMS UNLESS OTHERWISE STATED. FOR ALL OTHER PRODUCTS, CONSUMER DEPOT WARRANTIES TITLE ONLY, AND OFFERS NO OTHER   WARRANTY EXPRESSED OR IMPLIED, AS TO MERCHANTABILITY, OPERATING CONDITION, OR USE OF ANY PRODUCT, HOWEVER MOST PRODUCTS CARRY A MANUFACTURES WARRANTY.
3. DEFECTIVE PRODUCT MAY BE RETURNED FOR EXCHANGE WITHIN 14 BUSINESS DAYS FROM THE DATE OF PURCHASE WITH THE ORIGINAL RECEIPT
FOR INTERNAL USE ONLY:
ORDER #                                                                SALES                                                               

PROCESSED