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  • Steamtown Blueprint Continuous and Recurring/Monthly
    Credit Card Authorization Form(Print clearly. All fields are required)

    I hereby authorize Steamtown Blueprint to charge the credit/debit card listed below for any and all fees, purchases, orders, and the like on either a one-time, continuous, recurring, and/or monthly basis. I guarantee and warrant that I am the legal cardholder for this credit/debit card, and that I am legally authorized to enter this agreement with Steamtown Blueprint. I understand and agree that once Steamtown Blueprint has received my written approval for an order, this card will be charged automatically. If I wish to use an alternate payment method, I must notify Steamtown Blueprint in writing prior to order approval. I hereby authorize Steamtown Blueprint to charge my card on a recurring monthly basis for all fees, purchases, orders, and the like incurred.

    I understand that the inability to charge this card as agreed may result in delays in the production and delivery of my orders. Steamtown Blueprint is in no way responsible for any delays caused by the inability to charge the card noted below. Steamtown Blueprint reserves the right in its sole discretion to terminate orders and/or services until full payment is made. I understand and agree that payments made with this card, and the related orders, remain subject to Steamtown Blueprints’ Terms and Conditions of Supply and Payment. By signing this Continuous and Recurring Monthly Credit Card Authorization Form, I confirm that I have read, understood, and agreed to Steamtown Blueprints’ Terms and Conditions of Supply and Payment, which are available online as well as specifically upon request.

    I understand that, due to printing technical reasons, all screen printed orders are subject to 10% +/- over run or under run. Digitally printed orders will be delivered with exact quantities. The final invoice will reflect exact quantities delivered. By signing this document, I authorize Steamtown Blueprint to automatically charge my card for the over run or under run as the case may be.

    I understand that shipping and handling charges are provided as good faith, reasonable estimates and will be adjusted with the final invoice. By signing this document, I authorize Steamtown Blueprint to automatically charge my card for any and all shipping and handling adjustments.

    I agree that I will not dispute any charges from Steamtown Blueprint unless I have already attempted to rectify the situation directly with Steamtown Blueprint and those attempts have failed. I understand that, while Steamtown Blueprint will make every reasonable effort to notify me immediately, via the email address below, when a charge is made, it is my responsibility to track charges and request receipts if I do not receive them for whatever reason. By submitting below, I hereby agree to all terms herein.

  • (3-digit code on back of card (4-digit code for AMEX), following account number)
  • (Address and Telephone number must match credit card billing address)
  • You will receive a confirmation email for your records once a payment has been processed.
  • If left blank, amount will be considered unlimited.