Contact All Toner Cartridges -- Order Form

All Toner Cartridges Authorized Purchasers Form

Date Received:
By Whom:

Please fill in all fields below, as applicable:

Name:	Position:
Company/Organization:
Corporate Shipping Address:	Billing Address:
Telephone Number:	Credit Card #:
Fax Number:	Expiration Date:	CVV #*:
Email Address (to receive order confirmation):

*The CVV number is located on the back of your card, above the signature area

I authorize the individuals named below to place orders using the (circle one) corporate/personal credit card listed above for shipment from All Toner Cartridges to their respective locations.

Authorized Purchaser	Location	Shipping Address
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5.

I am the (or one of the) authorized account holder(s) of the credit card number above.

I understand that the individuals named above will be free to place orders for my company without my verbal or written permission from the time I submit this signed form to All Toner Cartridges, unless and until I contact All Toner Cartridges in writing to rescind this authorization.

I have read, understood and agree to be bound by the Terms and Conditions of Sale (see http://alltonercartridges.com/terms.htm [link]) and the Return Policy (see http://alltonercartridges.com/returns.htm [link]) currently in effect.

Signed:_____________________________________________ Date:_________________