1-617-8934046 info@blazer-tech.com

Outstanding performance: Marking deep feature with our 3D fiber laser markers

Credit Card Authorization

If you prefer a credit card transaction for your purchase, please print out and fill in the below credit card authorization form, and email us the form with your signature. Thank you for your business.

Card type (circle one):

MasterCard         Visa         Discover         AmericanExpress         Other

Cardholder name

 

Card number

 

Expiration date (mm/yy)

 

Billing address with zip code

 

I authorize Boston Laser Tech (Blazer-Tech) to charge my credit card for agreed upon purchases. I understand that my information will be saved to file for future transactions on my account.

Customer Signature

Date