PAYMENT AUTHORIZATION FORM
Printable PDF version of this form is available at: http://www.digomarket.com/terms/high_volume_purchases.pdf
Sales and Delivery Terms are available at: http://www.digomarket.com/terms/
Privacy guarantee: Infire Business Ventures Ltd guarantees that the submitted personal information will be disposed within six to twelve months of the delivery, and that the received personal information will not be shared with any third party, excluding the exceptions mentioned below.
I hereby certify that the following purchases from Infire Business Ventures Ltd, carried out by the payment services it utilizes, have been made intentionally. I furthermore certify that I am the sole owner of the payment account(s), credit card(s), bank account(s), and/or check(s) used to pay these orders. I certify that I, the legal owner of the payment account(s), credit card(s), bank account(s), and/or check(s) used for these orders, made and authorized these purchases.
I hereby certify that the payer, the payment(s) and the method(s) of payment are in no way in breach of the letter or the spirit of the Sales and Delivery Terms I agreed to at the time these purchases were made from Infire Business Ventures Ltd.
I hereby certify that I have read, understood and agreed to the Sales and Delivery Terms I was presented at the time of the purchase(s). I certify that I have read, understood, and agreed to (a) the terms of the user agreement of the payment service I used; and (b) the user agreement of Furcadia. I certify that none of my actions in making this purchase or these purchases are in breach of (a) the user agreement of the payment service I used; or (b) the user agreement of Furcadia.
I hereby agree that Infire Business Ventures Ltd may archive the documents I deliver for no more than twelve months from the date of the delivery. I agree that Infire Business Ventures Ltd has the right to require from its customers a proof of identity when deemed necessary.
I hereby agree that Infire Business Ventures Ltd may use this form and the copy of my photo identification as proof of my consent for the payments I have made or will make, should the need arise: Infire Business Ventures Ltd has my consent to submit a copy of this form and a copy of my photo identification to the investigation team of the payment service I used.
If I wish to let Infire Business Ventures Ltd to use these documents to confirm my age for possible future Furcadia items and services which require age verification, I shall clearly select “YES” from the options below. If I do not wish to grant Infire Business Ventures Ltd the right, I shall clearly select “NO” from the options below. I recognize that this choice is optional and that I am not required to fill it in any particular way.
Infire Business Ventures Ltd may use this form and the copy of my photo identification which follows it (a) to confirm my age; and (b) to relay the confirmation of my age to Dragon’s Eye Productions, Inc. at the time I purchase a Furcadia item or service which requires age verification.
¨ Yes ¨ No
Please print below the Buyer Protection ID related to this statement. You can find this ID in the email you received about the problems regarding your orders.
Buyer Protection ID: IBV-BPID-______________________________________________________ (this is NOT your Order Code)
Please print below the total value of the orders related to this statement. You can find this sum in the email you received about the problems regarding your orders.
Total value of the purchases: $____________________________________________________________
Location: _______________________________________________________________ (city, state, country)
Name in print: _______________________________________________________________ (first, middle, last)
Email address used with
the payment: _______________________________________________________________
Signature: ______________________________________________________________ (please use a pen)
WE CANNOT ACCEPT SIGNATURES MADE WITH MOUSE OR DRAWING PAD.
If you are under 18 years old, we require the signature of your legal guardian to certify that they authorize these purchases.
I, the legal guardian of the person printed above, hereby authorize the aforementioned purchases. I have read, understood, and agreed to the Sales and Delivery Terms for Furcadia Items and Services and I agree to all the terms presented above.
Guardian’s name in print: _____________________________________________________________ (first, middle, last)
Guardian’s signature: _____________________________________________________________ (please use a pen)
Please deliver this payment authorization form and a copy of a government issued photo identification (i.e. driver’s license) to Infire Business Ventures Ltd by either scanning the documents and uploading them to http://support.digomarket.com/, emailing them to firstname.lastname@example.org, faxing them to (+358) 10-296-1480 or mailing them to Buyer Protection Department, Infire Business Ventures Ltd, Nuijamiestentie 7, 00400 Helsinki, Finland.