Authorization for the use of your credit card.

   I ________________________________hereby authorize Avila's El Ranchito Restaurant & Catering to

  process my       _____Visa,  ______Master Card  ______American Express.  Please check one.

  My Card Number is:_______________________________  Exp. date ___________and  CID number

  on the reverse side of the card _______.

  Drivers License #________________________Exp ______State_______

The card will be processed in the amount of ____________________for the catering preformed by

Avila's El Ranchito Restaurant.  I understand that this is a non refundable charge and I agree that I will

not dispute this charge.  El Ranchito will be processing my credit card telephonically as a convenience

to me.  This is a valid transaction although the Merchant does not have my credit card in their

possession.

Date:_________________________

Signature of credit card holder___________________________________________

Please print this form out, fill it out, sign it and fax it back to 949-855-6886

Thanks

Avila's El Ranchito Catering

Home             Order Form                Catering 1                     Catering 2                 Catering 3             Catering  4