New Customer Information

Bank Transfer or Debit/Credit Card Payment Authorization

You authorize regularly charges to your bank account or debit/credit card. A receipt for each payment will be provided to you and the charge will appear on your bank account or debit/credit card statement. You agree that no prior notification will be provided unless the terms change, in which case you will receive notice from us at least 10 days prior to the payment being collected. You authorize Coto Distributors, Inc. to charge your Bank Account or Debit/Credit Card indicated below for agreed upon past due Invoices (7 days after receipt of merchandise will be considerate due, unless other arrangements have been made in writing with Coto Distributors Inc).
I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Coto Distributors, Inc. in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date; and my information will be saved to file for future transactions. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I acknowledge that the origination of Bank Account or Debit/Credit Card transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this Bank or Debit/Credit Card and will not dispute these transactions; so long as the transactions correspond to the terms indicated in this authorization form.
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