To keep our cost down so we can offer you the low low prices we do
we find it easier for us to process your credit card transactions, if you print the following form out and fax it to
865-938-5489 completely filled out and signed we will start to work on your order at once.Please take note this will appear on bill
as a transaction from Jata Menswear our main company.
Please Charge My:
Visa Master Card American Express
Credit Card No.:_______-_______-_______-_______
Expiration Date:___________
I hereby authorize you (Mouse in Cupboard also d.b.a JATA MENSWEAR) to charge my charge card for the amount of___________ for merchandise that I
have purchased. By signing this form you the cardholder agree to the terms of your credit card company.
NAME THE CARD IS IN: ___________________________________________
MAILING ADDRESS THAT YOUR CREDIT CARD BILL WILL BE SENT TO:
______________________________________________________________
_______.This is also where the merchandise will be mailed .
CITY____________ STATE /ZIP CODE _____________
TELEPHONE ( ) ____________________
. By signing this form you agree to all the terms on your credit card as well as all
of Mouse in Cupboard also d.b.a Jata Menswear terms .All china will be insured and all orders must have 50% down non refundable and remaining balance due
when goods are shipped. Freight will be added to your bill. We try to mail us mail if not we will ship ups.