I ___________________________________________ (Customer's Name)

officer of _____________________________________ (Company's Name)

authorize WHOLESALERS LOVE IS IN THE AIR, CORP. to charge to my

credit card for the invoice(s) #______________________ for the total

amount of $____________.

CREDIT CARD # _____________________________ (_ _ _)
EXPIRATION DATE _____________________________
CARDHOLDER NAME _____________________________



DATE: ___________ SIGNATURE ____________________