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Credit Card Authorization Form

When an order needs to be shipped to an address different from the billing address or when an international credit card is used, we must obtain your authorizationYou can either add the second address as an authorized alternate shipping address to your credit card account or complete the form below.
 

Instructions

  • Complete the form online and type all billing and shipping information in the blanks below, or print the form and complete the blanks legibly with a dark pen.
  • Print the entire form and sign with the credit card holder's signature on the line indicated.
  • Include a photocopy of the front and back of the signed credit card, and Drivers License. 
  • Scan and email the completed form and the photocopies of the credit card to customercare@rcplanet.com to complete your order.

 

I, , hereby authorize R/C Planet to charge my credit card account 
 
in the amount of $  ( including / add shipping)

  Discover          VISA

MasterCard American Express     
Credit Card Number: 

Expiration Date:  /            CVA Code: 

Credit Card Billing Address:

Street: 
            
City:      State: 

Zip Code:  -

Telephone:  () -

Country: (if not US) 

Requested Shipping Address:

Street: 
            
City:      State: 

Zip Code:  -

Telephone:  () -

Country: (if not US) 

 
As the credit card holder, I hereby authorize receipt of merchandise at the shipping address above.
 
 
__________________________________
 
 
____/____/______

Cardholder's Signature

Date

(Optional)
As the credit card holder, I also authorize R/C Planet to charge my credit card for future purchases verbally approved by me.

Authorization Valid Until: /         Initials Here:

Please Highlight and Print This Form


Your completion of this authorization form helps us to protect you, our valued customers, from credit card fraud.
All information entered on this form will be kept strictly confidential by R/C Planet, Inc.