Credit Card Authorization Form s4

Credit Card Authorization Form s4

<p> The Copper Onion 801.355.3282 Copper Common 801.355.0543 Copper Kitchen 385.237.3159</p><p>CREDIT CARD AUTHORIZATION FORM</p><p>Date: ______</p><p>I authorize the Copper Onion Group to apply the following charges to my credit card:</p><p>Number of gift cards requested ______</p><p>Amount to charge per gift card (minimum of $10) ______Postage ($1) ______Total charge: ______</p><p>Card Type:  Amex  Visa  MC  Discover</p><p>Card Number: ______</p><p>Expiration: ____/______</p><p>Cardholder Name:______</p><p>Signature:______</p><p> form not valid without signature</p><p>Please provide a phone number in the event that we need to contact you regarding your order: (______) ______- ______</p><p>Gift certificate orders typically ship in 1-2 business days after processed. (2-4 business days during the winder holiday season.) If you have any questions please call (801) 355-3282. Thank You!</p>

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