Authorization for Credit Card Transactions: Charges will appear as "M & M Enterprises"

Print and Fax this form toll free to 866-214-7506 and Email info@m-n-m-enterprises.com to confirm.

First Name: Last Name: Email Address: Phone:

Credit Card Number: Expiration Date: (Month) (Year)

Card Type: CVV2 or CVC2:

CVV2 or CVC2 is a security code found on most modem credit cards. For VISA/MC/Discover it is found on the back (three digits)

For American Express, it is found on the front (four digits)

Authorized Charge Amount:
Billing Address (as it appears on the credit card billing statement):

Address:

City: State: Zip:

Authorized Signature: Date: