Complete Wedding Packet - Starlite Entertainment DJs

starlitedjs.com

Complete Wedding Packet - Starlite Entertainment DJs

Starlite Entertainment

P.O. Box 74 Burlington VT 05402-0074 1-800-734-1140 www.StarliteDJs.com info@starlitedjs.com

CREDIT CARD AUTHORIZATION

PLEASE COMPLETE THIS FORM IF YOU ARE PAYING BY CREDIT CARD AND

RETURN TO

STARLITE ENTERTAINMENT P.O. Box 74 Burlington, VT 05402-0074

Event Information:

Client Name: __________________________________________________________

Date of Event: _________________________

Type of Event: ___________________________________

Credit Card Information:

� VISA � MasterCard � AMEX � Discover

Name (as it appears on the card): __________________________________________________

Card No. _______________________________________________________________________

Expiration Date: _______________

Card Holder’s Mailing Address: ______________________________________________________

______________________________________________________

Authorization: I authorize STARLITE ENTERTAINMENT to charge the following amount of my STARLITE ENTERTAINMENT bill to my credit

card. I am personally responsible for any and all of my STARLITE ENTERTAINMENT charges which are not paid pursuant to the above credit card

(e.g. credit card is or becomes invalid).

Current Authorization Amount: (In US Dollars) ________________

Balance Due Authorization: (Optional) I authorize STARLITE ENTERTAINMENT to charge any balance due amount of my

STARLITE ENTERTAINMENT bill to my credit card pursuant 3 weeks prior to the Date of the Event described above. I understand that I may

cancel this authority at any time prior to 3 weeks before the Event by submitting written notification from the undersigned.

Please initial here if you choose the Balance Due Authorization: (Optional) _____________________

Cardholder signature ___________________________________ Date ____________________

Thank you for choosing Starlite Entertainment!

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