Card Authorization

Your Account

So we match the card to the right account.

Company Name

Account Number optional

Your HiEnd Accents account number, if you have one. New applicants can leave this blank.

Billing Contact

Phone

Card Details

Encrypted on this page before it is sent. Visa, Mastercard, American Express and Discover.

Name on Card

Card Number

Expires MM/YY

Security Code CVV

Billing ZIP Code

Authorization

Read it once, then sign by typing your name.

I authorize 3J International Ltd Co, doing business as HiEnd Accents, to charge the card above for orders placed on our account with HiEnd Accents and its brands, until we cancel this authorization. I am the cardholder, or I am authorized to use this card on behalf of the company named above.

You can update or cancel this authorization at any time by emailing orders@hiendaccents.com. A cancellation applies to orders placed after we receive it.

I agree

Signature type your full name

Typing your name here counts as your signature.

Date

Printed Name

Title optional

Nothing else is needed from you once this is submitted.

Questions? Call 972-514-1971 or email orders@hiendaccents.com.

Your Account

Card Details

Authorization

Your card is on file.