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To : Dominic's Art Gallery CO. Postal Address : 3/F., 13 Elm Street, Tai Kok Tsui, Kowloon, Hong Kong Fax : (852)2789-0643 and (852) 2398-9098 Tel : (852)2391-8495 and (852) 2398-9983 Please charge to my credit card : VISA/ MASTER/ DINERS / A.E. (Please circle your card type)
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| MY CREDIT CARD NO. | : |
| EXPIRY DATE | : |
| DATE OF ORDER | : |
| NAME OF CARD HOLDER | : |
| NAME OF ISSUING BANK | |
| MY POSTAL ADDRESS | |
| TELEPHONE NUMBER | : |
| EMAIL ADDRESS | : |
| SIGNED BY CARDHOLDER
OR SIGNED BY AUTHORIZED PERSON OR COMPANY |
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ACCEPTANCE TO THE TERMS OF BUSINESS BY THE CARD HOLDER : 1. I accept the business terms mentioned in this order. 2. I am aware that my credit card will be charged immediately when I am placing this order. 3. I allow the seller to send this order to me through any public means, such as post office, freight forwarding agent and etc. The receipt of any of these public means will be counted as my personal receipt of the goods. 4. Transaction amount can only process in Hong Kong Dollars, hence there may be a slight variation in the actual amount charged due to US dollars conversion rate at the time of processing. The approximate currency exchange rate for US Dollars to HK Dollars is US$1to HK$7.80. 5. I am aware that I cannot cancel or change this order after signing on this list unless I can pay to the Dominic's Art Gallery Co who is a manufacturer, for his raw materials and the salaries of his workers. |
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| SIGNED BY CARDHOLDER | : |
Any combinations of the products are welcome, email us for details or put down the products information you
want in a separate paper and FAX your order to us.
Our FAX no. : (852) 2789-0643 AND (852) 2398-9089