www.gadget-fever.com Credit Card Authorization Form
1. Complete the form and fill out all billing and shipping information in the blanks below

2. Print the entire form and sign with the credit card holder's signature on the line indicated.

3. The following supporting documents are required:
  • A photocopy of the front and back of the signed credit card.
  • A photocopy of the CREDIT CARD BILLING STATEMENT, which can show clear the BILLING ADDRESS
4. Fax or email this form with the supporting documentation in order to complete your order.:
  • Fax: (852) 2745-1771 or Email: [email protected]
Shipping Address:
Name: __________________________
Address 1: _____________________________________
Address 2: _____________________________________
City: __________________ Prov/State: _______ Postal Code: ________
Phone Number: ______________________

Billing Address (if different that above):
Name: __________________________
Address 1: _____________________________________
Address 2: _____________________________________
City: __________________ Prov/State: _______ Postal Code: ________
Phone Number: ______________________

Credit Card Information:
Credit Card Type (please circle one): Visa / Mastercard / JCB
Credit card number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Expiration Date: __ __ / __ __ (MM/YY)
CVV Number: __ __ __ __ (This is the 3 to 4 digit number on the back of the card, it is the last numbers in the signature area after the credit card number.)
I authorize www.gadget-fever.com (Fever Toys Ltd.) to charge my credit card in the amount of
USD_____________________
For Item(s): ____________________________________________________________________
Order Number: ____________________________

By signing this authorization form, I acknowledge satisfactory receipt of relative goods/services.


Card Holder Signature ____________________________
Date __ __ / __ __ / __ __ __ __ (DD--MM-YYYY)

The issuer of the card identified on this order is authorized to pay the amount shown as total upon proper presentation. I, the credit card owner promise to pay such total (Together with any other charges due thereon) subject to and in accordance with the agreement governing the use of such card.

I also understand that the charge DO NOT include any duty and tax. I will be responsible for my local country duty and tax (if any).


ver. 2010-09-29 13:03:07