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Letter of Authorization
I would like to proceed with my order of clothes from Tailor Fashion
FULL NAME :
PASSPORT NO :
STREET :
CITY :
COUNTRY :
PROVINCE/STATE :
POSTAL CODE :
TEL :
FAX :
E-MAIL :
I authorize POP'S FASHION to
Deduct the sum of: (Verify Total Amount from E-Mail)
From my Credit Card :
Card Number :
4 Digit Code(AMEX) : 3 Digit Code(VISA)
Expiry Date : (MM/YYYY)
 

.................................................................(Orders once placed cannot be cancelled)
Signature as on credit card                 Date
 
Please deliver my clothes to ( Leave blank if address same above )
FULL NAME :
STREET :
CITY :
COUNTRY :
PROVINCE/STATE :
POSTAL CODE :
TEL :

After Printing, Sign & Fax this form to us.  Next, please proceed to MEASUREMENTS.


Tailor Fashion FAX: 00 662 712-6230