New Customer and CC Authorization Form - Compu-Net Systems | Managed IT Services | Cleveland, Ohio and Bluffton, South Carolina

Customer and Credit Card Auth

Company Name / Bill To

Address

City

State

ZIP

Phone

County

Primary Contact Name

Primary Contact Phone

Primary Contact Cell

Primary Contact Email

Billing Contact Name

Billing Contact Phone

Billing Contact Cell

Billing Contact Email (invoices will be sent to this email address)

Tax exempt?

Check here if tax exempt and attach a blanket certificate of exemption form (PDF format only)

File upload (PDF format only)

Federal Tax ID

Business customers: We ask for your Federal Tax ID Number because we are extending credit to you. If you prefer to not provide a Federal Tax ID or Social Security Number, payment in advance or having a valid credit card on file, is expected.

If you prefer to pay by credit card, select one credit card processing option below:

I give permission to Compu-Net Systems LLC to charge my card, on or just before the due date, for all invoices. I give permission to Compu-Net Systems LLC to charge my card, on or just before the due date, for recurring invoices only. I will provide approval via email or phone to process payment for all other invoices. Do not charge my card for any invoice until I provide approval via email or phone to process payment.

Last 4 digits of card to use

NOTE: Our accounting department will contact you for your complete credit card information. In order to protect your cardholder data, please do not enter any additional credit card information on this form. We accept MasterCard, Visa or American Express.

Acceptance

By submitting this form, I/we/company understand, agree to pay and specifically authorize Compu-Net Systems LLC to charge my credit card for computer services including labor charges, hardware, software, travel, shipping and any required sales taxes. I understand that my card details will be stored in my profile and will only be used for approved purchases. I further agree that in the event my credit card becomes invalid, I will provide Compu-Net Systems LLC with a new valid credit card upon request to be charged for any outstanding balances owed. I understand that I may cancel auto/recurring payments by emailing Accounting@CompuNet365.com; cancellations must be received at least 1 week prior to invoice due date.

I have received a copy of the Compu-Net Systems Terms information.

Customer and Credit Card Auth

Cleveland, Ohio

Bluffton, South Carolina

Thank you!

Best Practices Guide