consent-to-charge-to-card

CARD CHARGE CONSENT

Being me: _________________________________________________ the holder of the card with number: *__________________________ (Visa / Master Card / American Express) of the bank: *________________, I am aware and agree to the charge made for the amount of: ____________ Mexican pesos in the purchase of products C贸meme Arreglos Frutales SA DE CV with the order/ticket number *____ with date __________.


I agree to be responsible for said payment in the event that the funds on my card are not available or there is a claim.









PLACE YOUR IDENTIFICATION (INE) HERE:







PLACE HERE YOUR CARD USED IN THE PURCHASE:




聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽聽




______________________________________________________

NAME AND SIGNATURE


*When uploading the photos you can cover or block your INE ID and CURP and on the CARD its expiration date.
You can also check the Consumer Protection Law