Credit Card Form

Date:_____/_____/_____

I,______________________________hereby authorize Rich's Car Tunes, 204 Dexter Avenue, Watertown, MA 02472 USA to charge my

_____MasterCard_____Visa_____American Express_____Discover

Cardholder Name______________________________

Card #_________________________Expiration Date:___/___

The amount of $____________________

Items being purchased:

Thank you.

Name:________________________________________

Address:________________________________________

City:____________________State:__________Zip:__________

Country (if not USA):____________________

Home Phone:__________________ Work Phone:__________________

E-Mail:___________@_______________

Signature:______________________________

Thanks from Rich's Car Tunes.

Please print out this credit card authorization and fax it to Rich's Car Tunes at 617/926-3003 or you may mail it to Rich's Car Tunes, 204 Dexter Avenue, Watertown, MA 02472 USA. Questions? Send e-mail to sales@CarTunes.com or call us at 617/923-1490.