CREDIT CARD PAYMENT FORM


We gladly accept Mastercard, Visa, Discover, and American Express.

Please print, fill out the form below, scan and email it to us at shop@greatgifts4u.com. Or, if you prefer, you may fax it to us at (678) 482-0771.  For added security, you may leave the credit card digits blank and call us at  (678) 482-2910 with those.

Organization:

________________________________________________

Bill to address on statement:

________________________________________________

Person placing order:

________________________________________________

Name on card:

________________________________________________

Credit card number:

_________ - ________ - _________ - __________

Expiration date:

______ / ______

CVC/3 digit code on back of card:

______

Signature:

________________________________________________

Does your card have a per diem/transaction limit?  If so, what amount should we charge each day?  $________

If this is an official purchasing card with an individual code for it, please list it.  _________




Thank you for your order.  
We appreciate the opportunity to serve you!