PRESIDENT
INTERNATIONAL TAILORS
AUTHORIZATION FORM
FULL
NAME :
ADDRESS
:
PASSPORT
/ ID :
TEL
:
FAX
:
E-MAIL
:
To
President International Tailor.
I, HERE BY AUTHORIZE
PRESIDENT INTERNATIONAL TAILOR TO PROCEED WITH MY ORDER AS MENTIONED ABOVE AND
TO DEBIT THE SUM OF
FROM MY CREDIT CARD SPECIFIED BELOW.
AMERICAN
EXPRESS
MASTER
CARD
VISA
CARD
DINERS
CARD
CREDIT CARD NUMBER:
EXPIRY DATE : (MM/YY)
FOR AMERICAN EXPRESS PLEASE
MENTION THE FOUR DIGIT NUMBER APPEARING ON THE ENTER RIGHT HAND
CORNER OF YOUR CARD TO PROCESS
Please note :- President
International Tailor reserve the rights to treat all information provided as
strictly confidential and intended for one single use only.