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CREDIT CARD AUTHORIZATION CUSTOMER INFO PHOTO ID CREDIT CARD CREDIT CARD INFO BILLING ADDRESS PICKUP CONSENT [ ] HAVE PRODUCTION INSURANCE Charge will appear as L.A. Film Rentals on your Credit Card Statement *CERTIFICATE ATTACHED Please Provide Scans or Photos of your Photo ID and Credit Card, Front and back. With your signature on this form, you are authorizing L.A. Film Rentals to charge for rental services, damages or replacement that may occur from rentals. There are no refunds except in cases of malfunctioning equipment. L.A.Film Rentals

CREDIT CARD AUTHORIZATION - LA Film Rentals · 2019-03-11 · CREDIT CARD AUTHORIZATION CUSTOMER INFO PHOTO ID CREDIT CARD CREDIT CARD INFO BILLING ADDRESS PICKUP CONSENT [ ] HAVE

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Page 1: CREDIT CARD AUTHORIZATION - LA Film Rentals · 2019-03-11 · CREDIT CARD AUTHORIZATION CUSTOMER INFO PHOTO ID CREDIT CARD CREDIT CARD INFO BILLING ADDRESS PICKUP CONSENT [ ] HAVE

CREDIT CARD AUTHORIZATION

CUSTOMER INFO

PHOTO ID CREDIT CARD

CREDIT CARD INFO

BILLING ADDRESS

PICKUP CONSENT

[ ] HAVE PRODUCTION INSURANCE

Charge will appear as L.A. Film Rentals on your Credit Card Statement

*CERTIFICATE ATTACHED

Please Provide Scans or Photos of your Photo ID and Credit Card, Front and back.

��

With your signature on this form, you are authorizing L.A. Film Rentals to charge for rental services, damages orreplacement that may occur from rentals. There are no refunds except in cases of malfunctioning equipment.

L.A.Film Rentals

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