Credit Card Removal Request

Record of Credit Card Placement on File

Thank you for providing Marner, Inc. dba Competition Headwear with your credit card information. Please verify the information below for accuracy. Competition Headwear will keep this information on file until notified in writing of a request to remove the credit card.

As our customer, you may request payment to be made at any time using any of the credit cards on file. Our preference is for this to be noted on the purchase order upon placement of the order.

In the event a balance is not paid in a timely manner, the maintenance of a credit card on file authorizes Marner, Inc. dba Competition Headwear to attempt to recover the balance due by charging the credit card(s) on file.

Credit Card Information

Date of Authorization:
Authorized By:
Method Of Authorization:
Credit Card Type /
Credit Card Number
Expiration Date / CV2 code
Name on Credit Card
Billing Address
Marner, Inc. Representative Signature/Date

Credit Card Removal Request

Request for Removal By:
Date of Request:

ASI 46179 • 6748 Stapleton Drive South • Denver, Colorado 80216-6625

Tel. 303.329.8880 • Fax 303.355.8755 • Toll Free 800.334.1666