New Customer Form

Your Gateway to Luxury

new Customer Form

H-Authentica New Customer Form

Selfie Holding ID

For your security and protection, we kindly ask you to provide a selfie holding your ID. This extra step helps us ensure that you are the rightful cardholder, safeguarding your account from unauthorized use.


Please Contact sales team at 431-668-8113


Thank you! Kindly proceed and submit form. Our sales team will reach out to inform you once your additional credits have been approved.


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