China florist shop Authorization & Guarantee Form

Tel: 0086-10-69181904, 13621338500 Fax: 0086-10-69181904
Email: info@chinaflowerstore.com

Please print out this form, fill out the blanks, EMAIL or fax it back to us. 

Your name:___________________Your Country/Region:_______

Your Email Address: ____________________________

Your Telephone Number: ______________________

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.)

Credit Card No : __________________  

Expiry Date : ____________________________

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.  
CVV2:   This number is printed on your MasterCard & Visa cards in the signature area of the back of the card. (it is the last 3 digits AFTER the credit card number in the signature area of the card).  American Express cards show the cvv2 printed above and to the right of the imprinted card number on the front of the card.

China florist shop, send florists and flowers to China-- Chinaflowerstore.com