You may fill this form out online - print - then fax to us at 716-873-1684......or print 1st and fill out by hand. Either way please be sure to sign and date before faxing. You may also send this by U.S. Postal Service to the address below
MAK GROUP of COMPANIES, Inc.
1968 NIAGARA STREET, BUFFALO, NY 14207                                                                                                                Payment Agreement Form   Home


Credit Card Type:
Please check one  Mastercard  Visa     Discover  American Express


Name on card 

Card number               

Expiration date

Company Name  

Street  

City     

State   

Zip       

Invoice Number if applicable      

Cardholder acknowledges receipt of product in the amount shown on the invoice
charged to the above account and agrees to perform the obligations set forth in the
cardholders’ agreement with the issuer.
Terms and Conditions

  1. All product related claims must be made to MAK Group / Tomahawk Garment within 7 days after the shipment date.

  2. Tomahawk Garment will hold the person whose printed name and signature appears on this form responsible for completing the form with correct information and this person will become the contact in the appearance of any credit card problems.

Printed name ( if consignee)         Signature ____________________________   

Date ___/_____/_______