Portal Auth First NameLast NameShipping AddressAddress Line 1AptCityStateZip CodePreviousNextCard #Expiration Cvc #I, the undersigned cardholder, authorize the merchant known as "THE CELL PHONE SHOPPE" to charge my credit card for purchases related to good and services. This authorization is for a one-time payment only. I agree that the information that has been provided is accurate under penalty of law. I hereby authorize my card and relieve THE CELL PHONE SHOPPE, any and all associated parties and related merchants and payment processors of any and all liabilities. I Agree Previous AUTHORIZE
