Teatro Verde - Authorization To Charge Credit Card

This form authorizes teatro verde to charge your purchases and/or shipping Charges to your credit card.

I hereby authorize teatro verde to charge:

$_____________

$_____________

Purchases By Telephone

Shipping Charges

On the following Credit Card:

Number:

Expiry:

Month: 4-digit year:

CVV*:

Signature:

___________________________________

Date:

___________________

Shipping Address:

Name (first/last):

Address:

City:

Province/State:

Postal Code:

Country:

Daytime Phone:

*CVV (Card Verification Value) is a system that matches the credit card number with a 3 digit security code that appears on the back of the credit card. Requiring customers to enter this additional field provides an extra level of cardholder verification.

When a customer enters the CVV number appearing on their credit card along with the credit card number, the system will check this number against the information from the issuing bank.

87 Avenue Road, Toronto, Ontario M5r 3l2
Voice:416-966-2227 Fax:416-966-535
Toll Free: 1-888-4-Teatro Email: customerservice@teatroverde.com