Every order placed online through SupplementKingdom.com must pass industry-standard fraud checks, including verification of billing and shipping addresses, computer IP address, e-mail address, etc. before capturing payment and authorizing shipment. From time to time orders may be red flagged by our system and require further verification. We do this to protect cardmembers from credit card fraud.
Our customer service department may request that you complete the following credit card authorization form. When you have completed the form, please print and fax it to 228-388-2548.
You must include the following with your complete form:
You may print this page from your browser OR
To view the following form on a separate printable page, click here
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I, , hereby authorize SupplementKingdom.com to charge my credit card account in the amount of $ |
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VISA/MasterCard |
Discover |
American Express |
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Credit Card Number: Expiration Date: / Security Code: |
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Credit Card Billing Address: Street: Country: (if not US) Telephone: () - |
Requested Shipping Address: Street: Country: (if not US) Telephone: () - |
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As the credit card holder, I hereby authorize receipt of merchandise at the shipping address above and by signing below, aggree with the terms and conditions as stated on our website www.supplementkingdom.com
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