CREDIT CARD AUTHORIZATION FORM FILL AUTHORIZATION FORM RECEIPT REQUEST INQUIRY FILL INQUIRY FORM CREDIT CARD AUTHORIZATION FORM Send Your Message to*Avalon <[email protected]>Sandy Springs <[email protected]>Name on Event*Date of Event* Date Format: MM slash DD slash YYYY Purpose of The Form*dine inon site cateringdeliverygift cardotherOther Purpose of The FormType of Card*Number*V-Cod/3 Digit Security Code*Expiration Date* Date Format: MM slash DD slash YYYY Zip Code of Billing Address*Name on Credit Card(printed as on card)*Contact Phone Number*Contact Email Address* Amount to Charge($)** I hereby give Rumi's Kitchen permission to pay for the amount with the credit card number given Initial*Date* Date Format: MM slash DD slash YYYY This iframe contains the logic required to handle Ajax powered Gravity Forms. Receipt Request Inquiry To help us better assist you in finding your receipt, please answer as many following questions as you can: Send Your Message to*Avalon <[email protected]>Sandy Springs <[email protected]>Date of Visit* Date Format: MM slash DD slash YYYY Name of The Reservation*Last 4 Numbers of Credit Card*Server’s Name*Check Number*Charge Amount*Contact Name*Contact Email Address*Contact Telephone Number* This iframe contains the logic required to handle Ajax powered Gravity Forms.
