Teacup And Toy Pets Credit Card Form # 1
Teacup and Toy Pets Boutique
10308 US HWY 8O Forney Texas 75126
www.TexasTeacups.com / www.TeacupAndToyPetsBoutique.com
Main Number ( 972 ) 552-1989 / Pet Boutique Manager: Jan 972-552-9132 / Fax ( 480 ) 247-4749
Manual Credit Card Authorization Form # 1
I am authorizing Teacup and Toy Pets to manually charge my credit card in the amount of
$_______________________________________________________
(Enter Amount Here For Puppy Purchase Amount Only )
$__________________________________________________________________
( Enter Amount for pet shipping, health certificate, pet supplies, vet services, misc. )
I understand that these amounts will be charged on my credit card by
Teacup and Toy Pets as two separate transactions. Puppy Price will be charged separately from pet shipping, pet supplies, health certificate and sales tax if applicable.
I agree to Purchase this Puppy under the Purchase Agreement/Health and Size Guarantee provided by www.TexasTeacups.com / www.TeacupAndToyPetsBoutique.com
By signing this agreement, I state that I am the person authorized to make purchases with this credit card. I agree to pay the total amount shown above in compliance with the card holder’s agreement. I also understand that my puppy will not be shipped or cannot be picked up until Teacup and Toy Pets has received this form with my signature and a copy of my driver license and credit card.
______________________________________________________
^ Print Name on Credit Card Here ^
Credit Card Holder is the only person allowed to pick up pet at airport.
_______________________________________________________
Signature of Credit Card Holder Authorizing Charges Date
Due to the recent increase in credit card fraud, we now must ask for a copy of your driver license and a copy of your credit card which will be destroyed as soon as your signature has been verified. Sorry for the inconvenience. This is for your protection as well as ours. The name on the credit card must match the name on the driver license for the sale to take place. =================================================
FAX or SCAN IN COLOR (Otherwise copies are too dark to read)
> Place Driver License Here < > Place Credit Card Here <
State Sales Tax in the amount of 8.25% is applied when shipping your puppy anywhere in

> Credit Card Here <
Fax Signature & Credit Card Verification. For Signature & Credit Card Verification and send it via e-mail to
>Credit Card Here <
Fax Signature & Credit Card Verification. For Signature & Credit Card Verification and send it via e-mail to
After completing credit card authorization forms, 1, 2, & 3
Please fax all 3 pages to Teacup and Toy Pets @ 1-972-552-9241 or 1-480-247-4749