You can find another print out located here (http://hostnit.com/paypalauth.html )
PAYPAL AUTHORIZATION FORM
I, _______________________________ hereby authorize PayPal Transaction ID# _________________________ in the amount of US$ _________.____ which I am authorized to send from the PayPal account with the registered email address of ____________ @ _______________ to Rishi Padooman of, ™Host NIT Inc® accepting payment via PayPal registered email address: rishi@stkinc.co. By signing this form, I agree with all terms and conditions of the sale/order, as specified in the Host NIT Inc™ Service Agreement(TOS) , which I have made over the phone, by fax, or via the Internet. I also authorize any additional PayPal transactions I may make in the future to Host NIT Inc™, applied towards recurring monthly service fees, as well as any additional services or service upgrades, that I request on my account, and any applicable usage charges. The registrant information of my PayPal account is: Account Holder: _____________ _ ___________ Phone # ___________________Street Address* :_____________________________________________________ City ____ _________ State _________ Zip/Postal Code _______ Country _______ * Must be registered shipping address listed on your PayPal account. I understand that this information will be used for purposes of verification with the PayPal system to prevent fraudulent usage. Please note: If your PayPal registered email address changes, or if you wish to utilize a different PayPal account than listed on this form, you will need to complete
and provide to Host NIT Inc ® a new PayPal Authorization Form. You must attach a legible copy of your Driver’s License (or other valid photo ID: Passport, Gov’t Identification, etc...) and a legible copy of a utility bill which was received at your registered PayPal shipping address. Please Note: We accept bills other than utility bills but they must match your PayPal address.
Printed Name: ___________________________________Signature: ______________________________ Date: _____/_____/_____
Account Identifier : ___________________________________
(ie;
Order Tracking
# / Invoice #
/ Account #
PAYPAL AUTHORIZATION FORM
Please fax back to: 904-779-3323
ATTN
:
BILLING DEPT
Or
Send via Email w/attachments to auth@hostnit.com
PLEASE MAKE SURE TO PROVIDE ALL DOCUMENTATION REQUIRED.
Exception: If your Name and address match your name on the account, the only one identification is required. I.E: Drivers License.