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Shop-n-Scrap
Facilitating Crafting Freedom
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CREDIT CARD PAYMENT – AUTHORITY TO DEBIT

Thank you for your order.

Order reference number (as per email order reference):  _________________________________________

Total amount due:                                                     _________________________________________

 

To confirm and secure this booking, please provide us with your credit card details

and the authority to debit your card account in full.

 

Credit card holder

Full name:                                                              _________________________________________

Residential address:                                                 _________________________________________

Telephone number:                                                _________________________________________

Passport/Identity number:                                       _________________________________________

Type of Credit card:                                                   MC                         Visa                        Other

Credit card number:                                                _________________________________________

CVV /CVC :                                                            ____     (last 3 digits on back of the card)              

Total amount in ZAR (South African Rand)             ______________

 

Terms & Conditions accepted prior to order confirmation as per this link:

http://www.shop-n-scrap.co.za/index.php/home/terms-conditions

 

Guarantees / Warranty / Returns as per this link:

http://www.shop-n-scrap.co.za/index.php/home/guarantees-warranty-returns

 

I, ___________________ authorise Party Lights (T/A SHOP-N-SCRAP) to debit my credit card with the amount provided above.

 

SIGNATURE: _______________________             DATE:    __________________________

 

 

Email us:

A picture of the above completed document, and

A picture of the front of your credit card, and

A picture of the back of your credit card, and

A picture of your Identity Document (ID).

 

CONTACT US

Telephone: 012 460 4944  /  081 487 0763 

Email: silvia@shop-n-scrap.co.za

370 Eridanus Street, Waterkloof Ridge
Pretoria, 0105, South Africa

GPS: S25° 47’ 16”  /  E028° 14’ 55”
or      S25°47.292'  /  E028° 14.915’

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