The purpose of the form is to authorize Davis Distributing Co. to retain a valid credit card number on file with our PCI
Compliant Authorize.net service for you, our customer. The card information will not be stored locally and this form will
be deleted after receipt.

I certify that I am an authorized user of this credit card and that I will not dispute the payments with my credit card
company provided the transactions correspond to the terms indicated on my invoice.

I authorize Davis Distributing Co. to charge the credit card indicated on this form for the corresponding invoices.
I understand that this authorization will remain in effect until I cancel it in writing, unless I have chosen the "One Time Charge" option on this form, in which this information will only be used once and not kept on file in any way.