Mackinaw Kites & Toys - International Credit Card Information

Mackinaw Kites & Toys Home Page

Customer Credit Card Information

Mackinaw Kites & Toys
106 Washington St.
Grand Haven, MI 49417 U.S.A.
Telephone: 001-616-846-7501
Fax: 001-616-846-0106
www.mackite.com

Card Holder's Name:____________________________________________________

Card Holder's Address:_________________________________________________

City, State (Province):________________________________________________

ZIP or Postal Code:___________________ Country:________________________

Phone:____________________________ Fax:________________________________

Instructions:
1. Place Credit Card under paper,
numbers facing up, underneath the
box at left.

2. While holding card in place,
gently rub a pencil over the box.

3. The raised portions of the card
(number, name, expiration date)
will appear in the box. Please be
sure they are legible.

Credit Card Number:________________________________ Exp. Date:_________

Issuing Bank:__________________________________________________________

I authorize the above named company, Mackinaw Kites & Toys, to charge my credit card
account for orders placed by me plus shipping and handling fees. I agree to the terms and obligations
set forth by my credit card issuers' agreement. I certify that I am an authorized user of this account.
I understand that Mackinaw Kites & Toys is not responsible for lost or delayed shipments.


Cardholder's Signature X_______________________________________________

Print out and then fax or mail this completed form to the address above.
Your order will be shipped when we have received this form. You may
e-mail us any questions or call the above number. Thank you for your order!