Credit Card Authorization Form

 

I,  _ _____________ ____, hereby authorize Xezo.com to charge my
(circle one) MasterCard/Visa/Amex/Discover credit card no. ####-####-####-_____________   Expiration Date _________,
the amount of $ __________ (_____________________________dollars and ____cents) in connection with order number _________.
This charge represents my purchase of ______________________.

 

MasterCard and Visa: CVV2 Code Number:___________(3 digit code printed on the back of the card  above the signature field).

 

American Express and Discover: CID Number: _____________(4 digit number printed on the face of the American Express card above and to the right of the embossed card number. Discover cards have an additional 3 digits printed after the card number in the signature field)

 

I also hereby acknowledge that I have read and agree to the terms of Xezo.com’s Return Policy as stated below:


Customer satisfaction is very important to Xezo.com. Each item must pass our strict quality control process during manufacturing and prior to shipment to a customer. If you are not satisfied with your purchase, you may return it to Xezo.com within 30 days of ship date for a refund (the purchase price, minus shipping charges). A refund will be made within 5 business days from the date an item is received.

All merchandise is visually inspected upon receipt for signs of wear prior to the issuance of any refunds, exchanges or credits. The merchandise must be returned in new and unused condition, in the original boxes and with all paperwork (this includes warranties), parts and accessories to insure full credit.
"New and unused" means that there are no scratches, marks, or blemishes on the merchandise; there are no signs of wear on the product, and the product must not have been sized or altered in any way. We cannot accept a return of any item with any indication that it has been used.
Xezo.com is not responsible for merchandise that it does not actually receive or is not returned in accordance with these terms.
For your own protection, you may wish to insure the merchandise you are returning.

 

Signature:_____________________    Date: ___________

 

Printed Name:   ___________________________________­­______

Address:           _________________________________________

                         _________________________________________

Phone:              _______________  Email: ___________________

 




Your order will not be processed until this form is received and approved.  Please complete, sign and return this form and return it with a COPY OF YOUR DRIVER’S LICENSE.  All information will remain confidential and will not be used for any purpose other than explained above.  All information must be legible. Please fax this form to 1-281-545 2527
Attn: Customer Service.