Credit Card #: __________________________________________________________________
Expiration Date: ___________/_______/__________ CVS#:___________________________________
Name On Card: _______________________________________________________________________
Credit Card Billing Address:
____________________________________________________________________________________
City: __________________________ State________________ Zip _____________________________
Shipping Address: ___________________________________________________________________
____________________________________________________________________________________
City: __________________________ State________________ Zip _____________________________
The Card Was Authorized To Be Charged: $______________________________
X_______________________________________
Signature
Please fax back to FAX #+86-579-8520 6228, or
Scan and
e-mail to: ayla@netvigator.com
By signing this you are giving Ayla (HK) Ltd, authorization to charge to your Visa, or MasterCard for above invoice number. We look forward to a long and profitable relationship.
Ayla HK Ltd
Suite 301,
Kam On
Building
176 A Queens
Road Central
Central-
Hong Kong
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