Verify Your Order
All information MUST match the information you provided for your order. In order to provide financial security to our customers and our brand, Roxci Rae Collection requires proof of card holder identity verification as well as proof of agreement to our Terms of Service PRIOR to processing all orders placed using a credit or debit card.
Order # (This is provided in your order confirmation email)
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Full Name
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First Name
Last Name
Email
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example@example.com
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
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Area Code
Phone Number
Please upload a valid state issued ID
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Please upload photo of card used to process transaction *ONLY SHOW LAST 4 DIGITS OF CARD AND NAME ON CARD*
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Please save this verification form on file for all future purchases from Roxci Rae Collection. Saving this form on file, means I the customer am verifying I have willingly made all orders placed on www.roxcirae.com today and going forward. I understand by choosing to save my card information I will not be required to complete this form in the future.
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Yes, I am choosing to verify all future orders (automatically) by saving this form on file
No, I do not choose to verify any future orders, I will verify future orders manually
I hereby verify that I authorized this transaction and this purchase was a voluntary purchase. By signing below I am agree to Roxci Rae Collections Terms of Service, Return / Exchange Policy. The service and all products and services delivered to you through the services are provided without any representation, warranties or conditions of any kind, either express or implied, including all implied, including all implied warranties or conditions of merchantability quality, fitness for a particular purpose, durability, title, and non - infringement. By signing my signature below I agree and understand these terms of service. Please sign your name below.
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