LETTER OF AUTHORIZATION TO CHARGE CREDIT CARD

I, ____________________________, authorize Collector’s Paradise to charge to the

following described credit card the amount equal to the value of the product I have agreed

to purchase in my subscription agreement. The amount shall be equal the total retail value

of the product minus the discounted percentage given to me at sign up, plus any applicable

sales taxes.

Card Holder's Name on Card: ___________________________________________

Credit Card Type: ______ MasterCard ______ Visa ______ Discover ______ Amex

Credit Card Number: ______ ______ ______ ______ Exp. Date: ___________

Security Code: __________

Cardholder's Contact Information, including billing address:

Street Address: ______________________________________________________

Suite/Apt. No.: ___________ City: _____________________________________

State/Province/District: ________________________________________________

Country: ___________________________ Zip Code: _______________________

Billing Address Phone: _________________ Alternate Phone: _________________

Email Address: _______________________@_______________________________

Signature: ___________________________________

Printed Name: _____________________________ Date: _____________________