Letter of Authorization    In order for us to process your payments via credit card we need your permission so that  we can approach our bankers to charge your card. We request you to kindly fill up the  details in the form bellow and fax or mail this form (details bellow).       Date    Name as on card   Credit Card Visa  Master  American Express    Card Number   Valid Until Month 1 2 3 4 5 6 7 8 9 10 11 12   Year  2009 2010 2011 2012 2013 2014 2015       American Express     Visa Express     (mention the four digit number appearing    on    the center right hand corner)   (mention the three digit number appearing    on the back side of the card)       I hereby authorize to Armani Suits International to debit the sum of US $   from my credit card.         Signature as on card _____________________________________     Other Details (Card Holder)       Email Address   Passport Number / Nationality   Date of Birth   Mailing Address   City / State   Zip Code / Country   Mobile Phone/Home Phone               Fax or mail this form   Fax Number + 66 (0) 77 422 387   Tel Number  +66 (0) 77 422 387  91, Moo3, Chaweng Beach Road,  Opposite Centara Hotel, Tambon Bophut,  Koh Samui, Thailand.   CLICK HERE TO PRINT THIS FORM