Using this page, photocopy your driver’s license and credit card being used for payment and sign below. Be sure to print or type your card number with expiration date and driver's license information as they do NOT photocopy well.

Credit Card:						Driver’s License
CARD Number _________________________ exp. ______

Customer Service phone Number  __________________ 

I declare that the above items belong to me and that Sonic Sense may 
process charges ________________ as identified in Form 1--Rental Agreement 
				(total+shipping)
dated  ___________ + and the non-refundable 25% confirmation deposit
against my card presented above.

		
_______________________	_________
Signature					Date