Credit Card Authorisation
Print this page, complete details by hand, authorize the payment required and fax to VescoPlastics Sales at (011) 616 2222 (Inter +27)
In the interests of our customers' credit card security and protection, credit card information is not transferred electronically.
| Name of Card Holder |
| Type of Card |
| (only Master or Visa Cards accepted) |
| Card No |
| 3 digit number on back of card |
| Card expiry date |
| Amount authorised |
| Your authorised signature |
| Your telephone number |
| Your fax number |
| Other |
Last updated: Mar 28 2000
