Credit Card Form – Emdee International

3595 Clearview Parkway Atlanta Ga 30340 T 770.457.5450 F 770.457.5453 E: info@goemdee.com

Credit Card Authorization Form

Date

Company name

Contact name

Tel

Order Invoice

Amount to charge

Card type AmexDiscoverMastercardVisa

Is this a debit cardYESNO

Please Select oneDepositBalance Due

Account#

Expiration Date

Security code

Name on card

Credit card Billing Address

Street Address

City

State

Zip

I the cardholder, authorize Emdee International to charge the above payment. I agree to pay this amount in full and understand that this payment is FINAL and no chargebacks will be allowed.

Authorized name of card holder

Please note that this is only an authorization to charge, not a payment. The actual payment will be processed by our office and you will receive an emailed receipt of the transaction within 12-24 hours.

A 3% surcharge is added when paying by credit card.

Send in your registration application today! NOTE: Your account will be held for moderation and you will be unable to login until it is approved.

Send in your registration application today!
NOTE: Your account will be held for moderation and you will be unable to login until it is approved.

WINDOW TREATMENTS

SHEERS COLLECTION

DECORATIVE PILLOWS

DRAPERY HARDWARE

ACCESSORIES

FABRICS

Bespoke Rug

BEDDING

Credit card Billing Address

I the cardholder, authorize Emdee International to charge the above payment. I agree to pay this amount in full and understand that this payment is FINAL and no chargebacks will be allowed.

WINDOW TREATMENTS

SHEERS COLLECTION

DECORATIVE PILLOWS

DRAPERY HARDWARE

ACCESSORIES

FABRICS

Bespoke Rug

BEDDING

Credit card Billing Address

I the cardholder, authorize Emdee International to charge the above payment. I agree to pay this amount in full and understand that this payment is FINAL and no chargebacks will be allowed.

Login

Register