Harris Internet Services, Inc.
(Wedding Yellow Pages.Net)
496 West Saint Charles Rd.
Elmhurst , IL 60126-3128
Tel. 630-563-9740
Fax 630-359-4387

CREDIT CARD CHARGE AUTHORIZATION
Please mail or fax this completed form to Harris Internet Services, Inc.

I, the undersigned, authorize Harris Internet Services, Inc. to do the following:

1. Keep my signature on file;

2. Charge my MasterCard ® or VISA ® account as indicated below;

3. Automatically charge my account the same amount in the same way on each anniversary of today, unless I notify Harris Internet Services, Inc. of my cancellation in writing 30 days prior to the anniversary date.

___________________________________________________________

Cardholder Name

___________________________________________________________

Cardholder Billing Address

_______________________________ _________ _________

City State Zip

(Visa/MC) _________________________________ ______________ _____ _____

Account Number Month Expiration Year VC

_________________________________________ ____________________

Cardholder Signature Date

Choose Payment Method:

( ) Charge my account $99.00 for one annual payment.

( ) Charge my account $33.00 per month for 3 consecutive months as my annual payment.

(1-17-2005)