Rex Art Credit Authorization Form

International customers, please print this authorization form and fax it to (305) 445-1412 or mail it to Rex Art, 3160 SW 22 Street, Miami, FL  33145. Please also include a copy of your drivers license (or other signed identification) and credit card. We cannot process your international order without this authorization form.

Thank You,
The Rex Staff


Dear Rex Art,

Please use this letter as my authorization to charge any purchases that I make via telephone, fax, email, internet, or mail to the following credit card account:

Order Number

 

Card Type

 

Card Holder's Name

 

Billing Address

 
Billing Address 2 (optional)  

Contact Phone Number

 

Account Number on card

 

Expiration Date

 

Card Verification Code (CVV)

 

Signature on Credit Card

 

Please use this authorization from (date):


 to

 


Rex Art Supplies
3160 SW 22 Street Miami, Florida 33145
Phone (305) 445-1413 FAX (305) 445-1412
1-800-REX-ART2