Phone: 954.989.2500
Fax: 954.962.3113
www.TropicalAcres.com
[email protected]
CREDIT CARD AUTHORIZATION FORM – GIFT CARD
Form of Payment, circle one:
Visa, Amex, or MC
Credit card number: _________________________ Exp. Date: _______
Name (as it appears on the above credit card):____________________________
Authorized Amount of Payment: $______________________________
Authorized Signature: __________________________ Date: _________
Contact Telephone Number: ___________________________________
Gift Card Info:
Recipents Name:____________________________________________
Mailing Address. ____________________________________________
_____________________________________________________________________________
“From”: ___________________________________________________________
Other Info:
______________________________________________________________________________
______________________________________________________________________________
Please complete this form and return to Tropical Acres for credit card authorization. Thank you.
The Gift Card will be sent via USPS within 2 business days.