Hobby-estore.com
Credit Card Authorization Form |
| 1. Complete
the form and fill out all billing and shipping information in the blanks
below 2. Print the entire form and sign with the credit card holder's signature on the line indicated. 3. The following supporting documents are required: 4. Fax or mail this form with the supporting documentation to: Hobby-Estore.com 4961 santa anita ave #J temple city, CA 91780 Fax: 1-626-329-0886 Scan and email service@hobby-estore.com the completed form and the photocopies of the credit card to complete your order Shipping Address: Name __________________________ Address 1 _____________________________________ Address 2 _____________________________________ Address 3 _____________________________________ City __________________ Prov/State ___ Postal Code________ Phone Number ______________________ Billing Address (if different that above): Name ___________________________ Address 1 _____________________________________ Address 2 _____________________________________ Address 3 _____________________________________ City __________________ Prov/State ___ Postal Code________ Phone Number ______________________ Credit Card Type (please circle one): Visa Mastercard Discover American Express Credit card number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ Expiration: __ __ / __ __ CVV Number __ __ __ __ (This is the 3 to 4 digit number on the back of the card, it is the last numbers in the signature area after the credit card number.) I authorize Hobby-estore.com to charge my credit card in the amount of $_________ For Item(s): ________________________________________________________ Order Number: ____________________________ Card Holder Signature ____________________________ Date __ __ / __ __ / __ __ |