Credit Card Authorization Form(Please print this page, complete the information and fax it to the number listed to the right. Your order will not be processed until we receive this information.) |
Redtag Handbags4660 SAINT ANDREWS AVE BUENA PARK CA 90621 Tel: 213-268-8253 Fax: |
Company Name |
Cardholder Information | |||||||||
Name (as stated on card) | |||||||||
Billing Address | |||||||||
Tel | |||||||||
Fax | |||||||||
Credit Card Type |
American Express Visa MasterCard |
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Credit Card # | |||||||||
Expiration Date | (i.e. 01/2011) |
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CVV # | (The CVV is the 3 digit number located on the back of your card) Note: In the case of AMEX the CVV is the 4 digit number on the front of the card. |
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Cardholder Signature | |||||||||
Date |