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Authorization to Charge Credit Card by Phone
Whole Foods Market Georgetown does not keep credit card numbers on file. However, we must have a customer profile and written authorization, including signature, in advance to process your credit card over the phone.
Please complete and sign this form:
Cardholder’s Name: ________________________________________________________________
(Exactly as it appears on the credit card)
Credit Card Billing Address:
Street: ____________________________________________________________________________
City: ___________________________________________________ State: ____________
Zip: _______________________
Email : __________________________________________________
Telephone : Home/Cell: (______)________________________
Work: (______)________________________
Fax: (______)________________________
I authorize Whole Foods Market to accept my credit card as a form of payment with my order. I agree to pay the amount under contract with the card issuer. A receipt for this purchase will be delivered with my order.
Card Holder Signature: ___________________________________________
All customer information will remain confidential.
Please complete and return this form in any of the following methods:
Mail / Hand Deliver Email
Whole Foods Market Georgetown inahurrygtn@
Attn: In A Hurry Bike Delivery
2323 Wisconsin Ave.
Washington, DC 20007
We require an original signed form on file in order to process all delivery orders.
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