Print this form and fax it to us.
Arista Flag Corporation

157 W Saugerties Rd, PO Box 319,  Saugerties, NY 12477
PHONE: (845) 246-7700             FAX:  (845) 246-7786
sales@aristaflag.com
quotes@aristaflag.com

Credit Card Authorization Form
 for Custom-made, Stock, or Special Orders
 

For mail order, e-mail order, and telephone order credit card purchases, fill out and sign this form where noted.  Then mail or fax this form to us.  If we have faxed you a Quotation or Sales Order, please sign off as accepted and return the Quotation or Sales Order with this form.  As soon as we receive the completed forms, we will process your order.  If you have any questions regarding our terms of sale, please refer to the terms posted on our website and e-store.
 

* Cardholder's Name:

* Cardholder's Address:

City: State: Zip:

Email Address:

Daytime Phone: Fax:
Credit Card Type: Date:

Credit Card Number:

Expiration: Card Verification Code (On signature line on back of card,
:this is the 3 or 4-digit number following last 4 digits of your credit card number):

Amount of Purchase (including shipping and tax**, if applicable):

Signature:


* Please note that the Cardholder Name and Address that you list on this form must match the information on the credit card for the authorization to be accepted by Visa, MasterCard, or American Express. If you pay for an order for a tax-exempt organization with a credit card issued in your personal name, your purchase will be taxed.
* For all Custom-made, Special, or Non-stock item orders:  Please note that we will process your credit card for authorization and payment at the time that you place your order.  In most cases. orders for custom-made or special order items will be completed and shipped within two weeks or less.  We will process authorization and payment for stock items the day they are shipped.
Please be advised that we do not share information provided to us with any third party.  We take special care to make sure that all account and personal information is held in the strictest confidence.
**  Tax is applicable only if items are shipped to a destination within New York State.