LuxuryGuru, Inc.

Phone: (305) 274-6311 Fax: (305) 274-6313

Credit Card Authorization Form 


Item Ordered: ___________________________________________________________

Name: _________________________________________________________________

Shipping & Billing Address
(Please note shipping address must be on file with your credit card company)

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________


Home Phone: ___________________________________________________________

Bus Phone: _____________________________________________________________



Credit Card Number # ____________________________________________________

Exp. Date ________________________  Credit Card Verification Code _____________
What is a Card Verification Code?  Click here for explanation Credit Card Verification Code

           [ ] American Express            [ ] Master Card                     [ ] Visa


I hereby authorize LuxuryGuru, Inc. (LG Inc.) to charge $__________ to the above account.
(Add shipping and Florida sales tax if applicable)


Buyer's Signature: ______________________________________ Date _______________

*Due to the vast problems with internet credit card fraud, a legible scan or fax of your credit card
(both sides) and picture ID is now required. When we can limit our losses we can provide you
with better prices.  Thank you for your understanding.