I hereby authorize WALD USA to charge my credit card account on the services rendered













 
Same as Billing Address







 



 

I authorize Jonari Corporation to charge my credit card in the

amount of $ . I also authorize Jonari Corporation to charge my credit card account for any Non-sufficient (NSF) checks and refusal shipments (freight and/or restocking fees).

I authorize Jonari Corporation to keep this credit card on file to charge future orders.

 
Yes
No

NOTE: Charges may appear on your credit card as coming from Jonari Corporation.

California Dealers, Please download the form below and mail a completed copy to dealerapp@jonari.com

 

By submitting this form, I have read and agree with the terms and conditions presented by Jonari Corporation. I further agree to pay the total invoice amount, or amount as entered above according to the card issuer agreement. I hereby authorize Jonari Corporation to charge the above credit card. I agree to be bound by Jonari Corporation's terms and conditions for this transaction, and agree to follow the instructions for the return of any merchandise. I certify that the above information is correct.



54.90.207.75