PLEASE PRINT THIS FORM AND FAX/MAIL IT BACK TO US. DO NOT   SEND BY E-MAIL DUE TO SECURITY REASON


LETTER OF AUTHORIZATION

Yes! I WOULD LIKE TO PROCEED MY ORDER OF CLOTHES FROM
PAULS FASHION

 We accept all Major credit cards

All fields required

Please have your credit card ready to fill out the form
(Name & address must be the same as given to the credit card company)

Name :           
Address   :      
Country :         
Passport No. : 
Date of Birth :
Order No.:        (This is the number which we will give to you when confirming your order by fax or e-mail)

 

I, HEREBY AUTHORIZE NEW INTERNATIONAL BOUTIQUE HOUSE TO DEDUCT THE SUM OF US$ FROM MY CREDIT CARD BELOW:-  
AMERICAN EXPRESS   
MASTER CARD                
VISA                                      
DINERS                                
        Card No. 
    Valid until : 
             Date : 
For Amex Card only - Please mention the four digit number appearing on the center right hand corner of your card to process. 

SIGNATURE AS ON CARD................................................

PLEASE FAX OR MAIL THIS FORM TO: 
99 between sukhumvit soi 5&7
Opposite Landmark Hotel
Tel : +662 252-6127,254-4417
Fax: +662 259-7140

PAYMENTS CAN ALSO BE MADE BY BANK/POSTAL CHEQUES MADE PAYABLE TO "PAULS FASHION"

YOU CAN ALSO REMIT MONEY(SWIFT/TT) TO OUR BANK ACCOUNT. TO DO SO PLEASE SEND US AN E-MAIL/FAX TO ASK FOR OUR ACCOUNT NUMBER.