CREDIT CARD AUTHORIZATION FORM

The undersigned hereby expressly authorized PANYU CORP DBA KANNOA to rely upon telephonic communication of credit card number and expiration date for payment of invoice for goods purchased on behalf of the here in after named firm or company.

The undersigned further states that he/she is an authorized signatory of the card, is authorized to make this statement on behalf of the firm or company, and agrees to the firm or company to be financially responsible for any invoice in which credit card payment is requested. Please write the information required below: