HOTCARDS COLUMBUS CLIENT CONTACT SHEET
hotcardscolumbus. 275 South 4th St.  columbus, ohio  43215   614.280.0100 voice   614.280.0105  fax    


company / client / contact name

_________________________________________________________________________

street address

_________________________________________________________________________

email address

_________________________________________________________________________

website url

_________________________________________________________________________

phone number

_________________________________________________________________________

fax number

_________________________________________________________________________

alternative / cel number

_________________________________________________________________________

credit card type (check one)

VISA [     ]          MASTERCARD  [     ]

credit card number

_________________________________________________________________________

expiration date

_________________________________________________________________________

credit card holder's full name (as it appears on the card)

_________________________________________________________________________

credit card billing address

_________________________________________________________________________

second contact (optional)

_________________________________________________________________________

phone number

_________________________________________________________________________

please complete and return to hotcardscolumbus at the address on top of this form either by mail, fax or email to: doug@hotcardscolumbus.com.




client contact sheet number (to be completed by hotcardscolumbus)
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