Credit Card Authorization and Verification FormTel: (516) 484-4177 * Fax (516) 454-050033 North Mall Plainview, NY 11803, USA sales@leadingedgenovelty.com Please enable JavaScript in your browser to complete this form.Yes *I authorize to use my credit card for purchases from Leading Edge Novelty, Inc.Buyer Name *Company *Order Number *Select Date *Please accept this letter as authorization to bill my credit card for all charges pertaining to the order above. *This order only (We will request this information with all orders even if using this card again).Until further noticeEnter Card Holder Name *Address *Credit Card *Type of Card: (Check One) *MCVisaAEDiscoverExpiration date *CVV CODE *FaxTelephone *Email Address *WebsiteSubmit leadingedgeauthorize-card07.06.2020