Credit Card Verification

Before we are able to process your order, we require photocopies of the followings sent either by fax or by post for additional verification purposes. Please accompany the photocopies by a sheet below with your signature. For your security, please do not send the information by e-mail.

1. Photocopies of your credit card (front and back)
2. Photocopy of the most recent credit card billing statement showing your billing address (we do not require any other details)
3. Photocopy of your ID (driver's license, etc)

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I, ________________________________(my name) hereby authorize CDJapan (Neowing Co.) to charge my credit card below for orders placed on my customer account.


e-mail address registered on my customer account:


Order Number:


Details of My Credit Card
Credit Card Type: VISA / Master Card / AMEX / Diners Club


Credit Card Number:


Expiration Date:


Cardholder name as it appears on my credit card:


Billing Address:




Phone Number:


Cardholder Signature:


Date:

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Our Fax Number:
81-3-3665-4942
(81 is Japan's country code )

Our Address:
CDJapan (Neo Wing Co.)
1-10-12-2F Nihonbashi Horidome
Chuo, Tokyo 103-0012, Japan

*The information collected will be used only and strictly for the purpose of verification to protect your security.