CREDIT CARD AUTHORIZATION FORM INSTRUCTIONS: 1. Fill out this form 2. Sign where indicated Cardholder _______________________________________________________ _______________________________________________________ Billing Address _______________________________________________________ I authorize a charge against my credit card in Credit Card (choose one) MasterCard Visa Discover Card Number _______________________________________________________ Security Code ____________________ Expiration Date _______________________________________________________ E-mail Address _______________________________________________________ * IMPORTANT NOTE A processing fee of 3% of the transaction total is charged for all Signature: _____________________________ Date: ___________________ Renewal Fees: $_______ Processing Fee: $_______ (3% of transaction total *) FOR: Renewal Fees the following amount fees paid by credit card I authorize TFS Securities, Inc. to charge my credit card as specified. I authorize the financial institution named above to charge my credit card for the amount indicated. This authorization is for a one-time charge to my credit card for amounts due to TFS Securities, Inc. for Annual Renewals. Annual Renewal Fees