Primo Fitness Credit Card Authorization Form
User Manual: Primo-Fitness-Credit-Card-Authorization-Form
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Primo Fitness 3233 W. Castor St Santa Ana, CA, 92704 Phone: (714) 957-2765 / Fax: (714) 460-8461 Email: jesse@primofitnessusa.com Credit Card Sale The credit card owner or an authorized company representative must complete this form. Card Type: American Express Visa MasterCard Account Number: ______________________________________ Exp.: ___________ V/code#: ______ Billing Address: ______________________________________________________________________ Representative: _____________________________________________________________________ Card Holder (print): __________________________________________________________________ Amount Authorized: _________________________________ Invoice/Estimate #: _______________ Name of Recipient (if different): ________________________________________________________ Shipping Address (if different): _________________________________________________________ All equipment is subject to the following terms and conditions. All sales are final unless otherwise noted. If executing this agreement on behalf of a corporation, general/limited partnership, or any other legal entity, I declare that I am fully authorized to do so on its behalf. I hereby release Primo Fitness from any claims, demands, damages, losses, cost, causes of action, fees or expenses which may arise out of any dispute regarding the ownership, operation, sale, control or possession of this equipment. I further understand that Primo Fitness is not responsible for damages occurring during shipping and that any and all damages are to be noted on freight bill upon arrival at its destination. This document must be signed and returned to Primo Fitness prior to shipping. Damages: When the carrier delivers the order, I will count the pieces I receive and look for any noticeable damage. If I see any visible damage to the equipment, I will note it on the freight bill next to my order signature. Neither Primo Fitness, nor the freight carrier can be held responsible for shortages or damages if not noted on the freight bill. All damage and shortage claims must be filed with the freight carrier. If I choose to return or refuse any of the items, I will be responsible for all shipping costs and a 30% restocking charge. Authorized Signature: ______________________________________ Date: _____________________
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