purchases. El No. 1%W' fill out an authorization torn, each lime I make a creditCan:I purchase. (Check One) Please check one: WAX MASTERCARDO AMERICAN EXPRESSO DISCOVER El Credit Card Numbe Name on Credit Card: ElgThtt ne reata z0 piraflon Date: I Date: V? 07 1 71actontrre it ten fidaddated Otott 'me I