To     Majesty Jewelers ™. St.Maarten.
Fax #   011-599-542-2953
From :
Fax # 

                                                  Letter of Authorization

(Please Print)
I, Mr/Mrs____________________________________________________________

Address_____________________________________________________________

___________________________________________________________________

Tel#________________________________Fax#____________________________

___________________________________________________________________

Authorize  Majesty Jewelers ™  of  St.Maarten  to  charge  the  amount  of

US $__________(amount in words________________________________________)

towards purchase of Ring/Earring/Necklace/Bracelet/_________________,on my credit

Card Visa/MC/AX/____________________

Credit Card #______________________________Exp Dt_____________________

 

*Signature as on credit card.  *__________________

*Date of Acceptnce.              *__________________


*Photocopy of credit card front and back.
*Photocopy of Photo ID or Drivers License.

 

*Please Print this form and fax to us.