P.O. Box 44191 Atlanta, GA 30336-1191 | Phone: 404.213.4991 | Fax: 877.389.4701
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Credit Card Billing Authorization Form

If you would like to enjoy the convenience of automatic billing, simply complete the Credit Card information section below and sign the form. All requested information is required.
Upon approval, we will automatically bill your card for the amount indicated and your total charges will appear on your monthly credit card statement. You may cancel this automatic billing authorization at any time by contacting us at

Please Complete The Below:

I authorize ARTIC DESIGNS, INC. to bill the card listed below as specified:

ARTIC DESIGNS, INC. accepts the following credit cards: VISA, MasterCard, DISCOVER, and American Express:


(Ex: VISA, MasterCard, Etc?)

Customer Signature: