Credit Card Authorization

I, _______________________________________________ AUTHORIZE TM MEDIA CORPORATION

PRINT Name as it appears on Credit Card

TO CHARGE MY CREDIT CARD _________-_________-_________-_________, ____/____,

Credit Card # Exp

_______________ FOR THE AMOUNT OF $__________.

3 Digit Code

______________________________________________________________________________________

Billing Address: Street Address City State Zip

This credit card charge covers payment for my specific advertising request below:

Type of Ad: STANDARD THUMB OTHER _________________________

Time Contracted: ____________ Beginning Date _____________ Ending Date ___________________

Ad Rate: ______________________

ON-GOING ADVERTISING REQUEST:

I AUTHORIZE TM Media to charge my above credit card on the ________ day of every __________

Month

for the amount of $_____________________

to cover my advertising fees for the above ad request until further notice.

________________________________________________________________________

I understand these charges made to my credit card will cover the required fees pertaining to the ad creation & ad placement on Thatmall.com Website ONLY. If for any reason, I decide to discontinue my “Ad Run” on Thatmall.com, I understand all “frequency discounts” I may have earned will be prorated to reflect the actual time period my ad ran. I also understand all payments are final once my ad run begins, and, all ad cancellations for any reason will be entitled to “Time” credit ONLY!

Please keep my Signature/Credit Card Info on file for future Advertising Requests.

______________________________________ _ _/_ _/_ _ _

Signature Date