ROLAND CANAMAR
Studio Chief
 
DISTRICT OFFICE
1181 N. Knollwood Cir
Anaheim, CA 92801
(714) 836-1853 Ext. 1
 
SILVER DREAM FACTORY
BUREAU OF AGREEMENTS
(CREDIT CARD AUTHORIZATION COMMERCIAL)

CREDIT CARD AUTHORIZATION

WE DO NOT ACCEPT AMERICAN EXPRESS

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Amount Authorized:$2,000
NOTE: SECURITY DEPOSIT WILL BE CHARGED 5 BUSINESS DAYS PRIOR TO FIRST SCHEDULED SHOOT DATE.
 
I UNDERSTAND I AM LIABLE FOR ANY UNPAID BALANCE OF THIS PURCHASE OR RENTAL (SEE BELOW)
CANCELLATION FEES, DATE CHALLENGES, PURCHASES, DAMAGE TO SETS, PROPS, EQUIPMENT, GRIP & LIGHTING, LOST OR NON-RETURNED EQUIPMENT, RENTAL CHARGES, LATE EQUIPMENT RETURN, EXTENDED RENTAL CHARGES, STAGE MANAGER OVERTIME, BAD CHECK FOR ANY REASON, EXPENDABLES, FUEL OR MILEAGE CHARGES OR ANY OTHER CHARGED COVERED IN THE RENTAL AGREEMENT OR BILL OF SALE.
 
I ALSO UNDERSTAND THAT I AM NOT HELD TO ANY SPECIFIC AMOUNT OF AUTHORIZATION. I AM LIABLE FOR ANY UNPAID BALANCE OF THIS PURCHASE OR RENTAL. I ALSO UNDERSTAND THAT AN ADDITIONAL 3.5% FEE WILL BE ADDED TO ALL CREDIT CARD OR DEBIT PAYMENTS. 
 
 
I ACKNOWLEDGE THAT A COPY OF THIS DOCUMENT SHALL CONSITUTE THE SAME CONSENT AS AN ORIGINAL.
 
Credit Card Authorization Signature: By signing as card holder, I DO HEREBY AUTHORIZE SILVER DREAM FACTORY TO CHARGE MY CREDIT CARD AND UNDERSTAND AND HAVE READ ALL THE STIPULATION & TERM TO THE ENTIRE LOCATION AGREEMENT. *
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Secured by Formsite
Please note: your studio date or dates will not be secured upon form submission, the offices of Silver Dream Factory will review your submission and contact you with a confirmation or any additional information necessary. Exact dates requested may not be available.
 
If you're having trouble with this form please contact Silver Dream Factory at (714) 836-1853.