ࡱ> Y[X <bjbjSS 0"11,xx84R|n___$7_____7Laaa_Fa_aaapjlvab0aHHaHa__a_____77_______H_________x :  Authorization to Charge Credit Card by Phone Whole Foods Market Georgetown does not keep credit card numbers on file. However, we must have a customer profile and written authorization, including signature, in advance to process your credit card over the phone. Please complete and sign this form: Cardholders Name: ________________________________________________________________ (Exactly as it appears on the credit card) Credit Card Billing Address: Street: ____________________________________________________________________________ City: ___________________________________________________ State: ____________ Zip: _______________________ Email : __________________________________________________ Telephone : Home/Cell: (______)________________________ Work: (______)________________________ Fax: (______)________________________ I authorize Whole Foods Market to accept my credit card as a form of payment with my order. I agree to pay the amount under contract with the card issuer. A receipt for this purchase will be delivered with my order. Card Holder Signature: ___________________________________________ All customer information will remain confidential. Please complete and return this form in any of the following methods: Mail / Hand Deliver Email Whole Foods Market Georgetown  HYPERLINK "mailto:inahurrygtn@wholefoods.com" inahurrygtn@wholefoods.com Attn: In A Hurry Bike Delivery 2323 Wisconsin Ave. Washington, DC 20007 We require an original signed form on file in order to process all delivery orders.     /01N[ / 0 1 2 C r w ϾuugVD6h;SmCJOJQJ^JaJ#h;Smhz5CJOJQJ^JaJ h;Smh#7CJOJQJ^JaJhzCJOJQJ^JaJhxCJOJQJ^JaJh#7CJOJQJ^JaJh,CJOJQJ^JaJ h;SmhzCJOJQJ^JaJhxCJOJQJ^JaJ h;SmhzCJOJQJ^JaJ h(Jh;SmCJ OJQJ^JaJh[hzOJQJ^JaJjhTiOJQJU^JaJ01 1 2 * + | }   $a$gdx$a$gd`$a$$a$$a$$a$gd[w |   % * + 1 L Z \ ] e f g n r u w y | } IJӡxgxxxxxgx h(Jh`CJOJQJ^JaJh`CJOJQJ^JaJ h;Smh`CJOJQJ^JaJh`OJQJ^J h(JhzCJOJQJ^JaJ#h;Smhz5CJOJQJ^JaJh;Sm5CJOJQJ^JaJ h;SmhzCJOJQJ^JaJh;SmCJOJQJ^JaJh+ECJOJQJ^JaJ$ @ H i j  C D E F κ𨙈ziZNZ=.hx5CJOJQJ^JaJ h;SmhzCJOJQJ^JaJhxOJQJ^JaJh;SmhzOJQJ^JaJ hxh;SmCJOJQJ^JaJhxCJOJQJ^JaJ hxhxCJOJQJ^JaJh;5CJOJQJ^JaJ#hxhx5CJOJQJ^JaJ&hC{h;Sm5>*CJOJQJ^JaJ hC{5>*CJOJQJ^JaJ hC{hC{CJOJQJ^JaJhC{5CJOJQJ^JaJ A B i j D E F   # ,$a$gdC{$a$^gd[^gd gdx$a$$^`a$gdxF [ ] |     νΩykZI:hx5CJOJQJ^JaJ hx5>*CJOJQJ^JaJ h(J5>*CJOJQJ^JaJhxCJOJQJ^JaJhzCJOJQJ^JaJ h hxCJOJQJ^JaJ *hx>*CJOJQJ^JaJ& *h+Ehz>*CJOJQJ^JaJ h(JhzCJOJQJ^JaJ h;SmhzCJOJQJ^JaJh;SmCJOJQJ^JaJ#h;Smhz5CJOJQJ^JaJ ! 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