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Credit Card Authorization Form

To prevent the unauthorized use of your credit card, we require this authorization form to be completed.

Place the credit card and cardholder’s Photo ID (both must be associated with the referenced order) in the boxes below and
photocopy form. Please block off the security code from your credit card. Authorize the charges to your credit card by signing
below.

Please send scanned copies or questions back to us at cstasking@fun.com

Front of Credit Card Copy of Photo ID showing signature

Please block out all numbers except the last 4


digits on the card. Also block the security code.

Signed back of Credit Card

Please block out all numbers except the last 4


Transaction #: ______________________ digits on the card. Also block the security code.

Order Amount: ______________________


Item Description: ______________________
Cardholder Name: ______________________
Date: ______________________

I agree to pay the total amount as entered above. I hereby authorize Fun.com to charge the above credit card for this amount.

Signed: _________________________________________________________

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