Credit Card Authorization Form


25-20 50th Avenue Long Island City, New York 11101

Telephone: (718) 482-8422 Fax: (718) 482-8423

Credit Card Authorization Form

Business Information:

Credit Card Information:

John’s Market will execute your payment within 24 hours of purchase, unless agreement of terms are in effect. Confirmation of payment will be emailed to the email above immediately after the credit card is processed.
I authorize John’s Market to charge my credit card as indicated above for services and products rendered. Should my credit card expire or be declined, I will promptly provide John’s Market with my new credit card information. By signing below, I authorize John’s Market to update my credit card information by my verbal authorization. My signature below authorizes all charges and changes to the credit card above.

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Signature Certificate
Document name: Credit Card Authorization Form
Unique Document ID: ca0c336e6bf495a702394c0d3739f20bedee886e
Timestamp Audit
December 4, 2018 8:15 am EDTCredit Card Authorization Form Uploaded by Miro E. Besic - miro@johnsnyc.com IP 71.105.2.5
January 22, 2019 7:11 pm EDTMicro Johnsnyc - miro@johnsnyc.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.230.66
February 26, 2019 7:33 pm EDTMicro Johnsnyc - miro@johnsnyc.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
February 26, 2019 7:33 pm EDTJohns Nyc - ap@johnsnyc.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 11:59 am EDTMicro Johnsnyc - miro@johnsnyc.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 11:59 am EDTJohns Nyc - ap@johnsnyc.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 11:59 am EDTEmir Besic - miro.besic@yahoo.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 12:02 pm EDTMicro Johnsnyc - miro@johnsnyc.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 12:02 pm EDTJohns Nyc - ap@johnsnyc.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 12:02 pm EDTEmir Besic - miro.besic@yahoo.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 12:02 pm EDTjoe clark - abdul.baeis@technado.co added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 12:07 pm EDTMicro Johnsnyc - miro@johnsnyc.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 12:07 pm EDTJohns Nyc - ap@johnsnyc.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 12:07 pm EDTEmir Besic - miro.besic@yahoo.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 12:10 pm EDTMicro Johnsnyc - miro@johnsnyc.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 12:10 pm EDTJohns Nyc - ap@johnsnyc.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24
March 14, 2019 12:10 pm EDTEmir Besic - miro.besic@yahoo.com added by Emir Besic - ap@johnsnyc.com as a CC'd Recipient Ip: 110.93.247.24