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AbsoluteCorsets.com Shipping Authorization
This document is for your protection and ours. If you do not wish to complete this form, the following options are available:
money order or cashiers check
We appreciate your cooperation in preventing online credit card fraud and for helping to make the web a safer place to shop. Failure to adhere to this policy will result in the delay and/or cancellation of order.
(EXCEPTION: options above are not applicable for international addresses,
Authorization form must be received as address verification is not verifiable
through international banks via phone).
(address on file with credit card company)
Alternate Shipping Address:
By signing this form, I certify that I am the true cardholder and hereby authorize
AbsoluteCorsets.com c/o Serenity Designs to bill the following credit card for merchandise cost and
applicable shipping charges in the amount of $____________.
I further authorize shipment to be made to an address other than my billing
address (if applicable). Signing this form also indicates that I have
read and understand the terms of sale, including shipping, delivery and return
policies as outlined on the web site.
Visa______ MasterCard______ American Express______ Discover Card______
(please check one)
*Card Issuing Bank's phone number:____________________________
(for verification purposes - printed on back of card or credit card statement)
Card Number ________________________________Expiration _____/_____
Cardholder Signature: x___________________________________ Date: __________
PLACE FRONT OF
PLACE BACK OF
CREDIT CARD HERE CREDIT CARD HERE
Must be light and legible Must be light and legible
COPY OF DRIVERS LICENSE
OR PHOTO I.D. HERE
Must be light and legible
270.209.1714 / International Customers:
Web site: http://www.absolutecorsets.com/