Epstein Secrets

y). 3. Sign the form and FAX it back toll=la. Attn: Marisa Bordonaro 4. IMPORTANT: A new authorization form is needed for every charge. authorize Porcelanosa New Jersey. (CARDHOLDERS NAME EXACTLY AS IT APPEARS ON DIE CARD) to charge my credit card set forth below the amount of 3,0sCi(05 .19USD. This payment will

atement: and (d) agree to pay the above total amount according to the card issuer agreement. 1_42J_L/ 12 - (DATE) (PRIM CAROL 000 ROUTE 17 NORTH, RAMSEY, NEW JERSEY 07446 • PHONE (201)995-1310 • FAX (201) 995-1960 EFTA00544521

ly). 3. Sign the form and FAX it back to . Attn: Marisa Bordonaro 4. IMPORTANT: A new authorization form is needed for every charge. authorize Porcelanosa New Jersey, (CARDHOLDERS NAME EXACTLY AS IT APPEARS ON THE CARD) to charge my credit card set forth below the amount of $ . USD. This payment will be appli

pay the above total amount according to the card issuer agreement. (CARD HOLDER SIGNATURE) (DATE) (PRINT CARDHOLDER'S NAME) 600 ROUTE 17 NORTH, RAMSEY, NEW JERSEY 07446 • PHONE • FAX EFTA00549402 PORCELANOSA' TILE / KITCI IEN ' BAT} I ** THE FOLLOWING PAGE LISTS THE LOCATIONS FOR THE NECESSARY

lease print clearly). 3. Sign the form and FAX it back to . Attn: 4. IMPORTANT: A new authorization form is needed for every charge. authorize Porcelanosa New Jersey, (CARDHOLDERS NAME EXACTLY AS IT APPEARS ON THE CARD) to charge my credit card set forth below the amount of $ . USD. This payment will be appli

pay the above total amount according to the card issuer agreement. (CARD HOLDER SIGNATURE) (DATE) (PRINT CARDHOLDER'S NAME) 600 ROUTE 17 NORTH, RAMSEY. NEW JERSEY 07446 • PHONE • FAX EFTA00521206 PORCELANOSA' TILE / KITCI IEN ' BAT} I ** THE FOLLOWING PAGE LISTS THE LOCATIONS FOR THE NECESSARY