Checking this box shall be deemed to be my written authorization to charge, debit or credit the credit card given, for the amount and type of transaction indicated at the time of use. I confirm that I am the credit card holder indicated above. I understand that 4 Less LLC is the billing company and will appear on my credit card statement. Furthermore, 4 Less LLC is hereby authorized to rely and act upon telephone and other electronic instructions given by me. Furthermore, I and the Student have read and agree to comply with the Terms and Conditions Statement.