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 Handbags


4660 SAINT ANDREWS AVE BUENA PARK CA 90621
Tel: 231-268-8253 Fax:
Company Name  
Cardholder Information
Name (as stated on card)
Billing Address  
 
Tel
Fax
Credit Card Type American Express
Visa
MasterCard
Credit Card #
Expiration Date
(i.e. 01/2011)
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.
Please check all boxes
I hereby authorize Redtag Handbags to process my order PO# _______________ and/or INV# __________________ with the above credit card for the amount of no more than ___________________ (please write original order amount) plus Shipping & Handling fees.*
I agree that I will not initiate any dispute on this charge in the future, for the reason of "No Cardholder Authorization".
I will provide with copy of proof of identity and ownership of credit card uponrequest.
* Rates may vary depending on the carrier of choice.
Cardholder Signature
Date