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China florist shop Authorization & Guarantee Form Tel:
0086-10-69181904, 13621338500 Fax: 0086-10-69181904 Please print out this form, fill out the blanks,
EMAIL or fax it back to us. Your Email Address:
____________________________ Credit Card Type : ________ (Master Card, AE, JCB Card , VISA) CVV2 No.: ________( CVV2 is a new
authentication scheme established by credit card companies to further
efforts towards reducing fraud for internet transactions. It consists of
requiring a card holder to enter the CVV2 number in at transaction time
to verify that the card is on hand.) Cardholder's Name (same with your card’s) : __________________ 1. Gift ID: UNIT PRICE: 2. Gift ID: UNIT PRICE: 3 Gift ID: UNIT PRICE: Delivery Date: (MM/DD/YY) 1. Recipient Name: _______________________ 2. Recipient Tel.:_____________Mobile Phone: __________ 3.. Recipient Address:____________________________ 4. Card Messages or what else do you need:
If
you have printer and fax machine, you can fax the above credit card details to our office 008610-69181904 (Beijing, China),
If you haven't , you can copy the info, fill in and email to us
wypbj@yahoo.com
. If the recipient is in the countryside, more USD10 will be more added.
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