Credit Card Authorization This authorization form must be completed right after contract signing.All information required. FREQUENTLY ASKED QUESTIONS Name Email Phone Card Number Expiration CVV Address License Picture Credit Card Picture I authorize Verdure Kitchen & Cocktails to charge my credit/debit card the amount due. Ocha House Private Limited Meies House, Crotsi Street Belfast BT2 8LA, United Kingdom Ocha House Teas Global, Inc1250 Grand Ave, St Paul, MN 55105, United State Vahdam Teas Private Limited36 Shimonoto Yuyadani Ujitawara, Kyoto 610-0221 Japan