CREDIT CARD PROCESSING

Submit by Email Precision Plastic Ball Co. 10129 Pacific Ave. Franklin Park, IL 60131 Ph. 847-678-2255 Fax. 847-678-3100 CREDIT CARD PROCESSING COMPANY NAME: ______________________________________________ PHONE NO.: ______________________________________________ NAME ON CREDIT CARD: ______________________________________ ADDRESS ON CREDIT CARD: ____________________________________ _______________________________________________________________ CREDIT CARD NO : _____________________________________________ CREDIT CARD TYPE: (MASTERCARD, VISA ): ______________________ EXPIRATION DATE: ___________________________ 3 DIGIT CODE: ( BACK OF CARD) ________________________________ EMAIL ADDRESSS: _________________________________________________ *************************************************************** Please email this form back to: PPBALL@SBCGLOBAL.NET You may also fax this form to 1-847-678-3100. Print Form