KEY HOLDER PRICES


For all of our customers, who choose to use a credit card as their form of payment for the purchase of products from  Key Marketing, we need the following information for our records.  This is for the protection of both your company and our in case of credit theft or fraudulent credit cards that are being produced by credit card rings nationwide.

This form will only need to be completed, signed, and faxed back to our office for the processing of your initial credit card purchase from  Key Marketing.  For subsequent purchases, this information and your authorized signature will be on file with us.

Type of Credit Card
CVV Indicator – 3 digit # on the signature panel
CREDIT CARD #
EXP. DATE:
COMPANY NAME ON CARD:
PERSONAL NAME ON CARD:
FULL STATEMENT ADDRESS ON CARD:
AUTHORIZED SIGNATURE:
 

Please complete and fax back immediately to enable us to process your order for shipping. 
FAX (985) 882-8597.

Thank you