Teacup And Toy Pets Credit Card Form # 2
Teacup and Toy Pets
10308 US HWY 8O Forney Texas 75126
972-552-1989 Fax 972-552-9132 or 480-247-4749
MANUAL CREDIT CARD AUTHORIZATION Form # 2
PUPPY PURCHASE AUTHORIZATION
1.) I am requesting to purchase puppy number #________________and pay by credit card.
2.) Name on Credit Card: _____________________________________________
( Print Name That Is On The Credit Card Here )
Circle Credit Card to be used: ( Visa ) ( Master Card )
3.)_________________________________________ ^ Credit Card Number ^
4.) Expiration Date:_________________________________
5.) Security Code (CVV2):_________________________
6.) Authorization Code:__________________________________________
( Provided by TeacupAndToyPets )
7.) Amount of Charge:_________________________________________
8.) Date of Charge:_________________________________________
9.) ______________________________________________
Signature of Card Holder Authorizing Charges
www.TeacupAndToyPetsBoutique.com / www.TexasTeacups.com