PLAY TIME TOYS, INC.
6235 Edgewater Drive
Orlando, Florida 32810
(888) 457-8697 – Fax (407) 295-5629
CREDIT CARD AUTHORIZATION
For your convenience, we accept Visa and MasterCard. If you wish to pay using your charge card, please
fill out this authorization form completely and fax the signed form as soon as possible.
We need to receive this authorization BEFORE your order is shipped.
Card: Choose One
Type: Choose One
Exp Date:
Account Number:
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/
Security Code:
Card Billing Address :
I authorize Play Time Toys, Inc to charge the above Credit Card as follows (choose one):
Single Use – for my next order only.
✔
Multiple Use – for my next order and all future orders until the card expires.
If merchandise is refused for any reason, or if customer does not pay carrier for goods shipped freight
collect, the below signed will be responsible for all shipping charges to and from our warehouse and all
such charges will be charged to this credit card. Customer hereby agrees to all terms and conditions of
our invoice.
Cardholders Signature:_____________________________________________________________________
Company Name:
Cardholder’s Name:
Cardholder’s Billing Address:
City/State/Zip:
Telephone:
E-Mail Address:
Drivers License Number:
State Issued:
PLEASE FAX COMPLETED FORM TO:
407-295-5629