Credit Card Authorization


 

 

 

 

 

I hereby authorize this card to be used for the deposit and/or payment required for services provided by Flowerful Events.I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form. By signing this form you give us permission to debit your account for the amount indicated on or after the indicated date. This is permission for a single transaction only, and does not provide authorization for any additional unrelated debits or credits to your account.

 

This payment is for:

 

Payment Category

 

Payment Amount $  

 

Address:

 

Comment or Message

 

Credit Card Information

 

 

Date Signed

 

 

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Signature Certificate
Document name: Credit Card Authorization
lock iconUnique Document ID: 5e4d83cf8b81f42f90f72a4f9ac6c4fbe6d8c8c6
Timestamp Audit
March 16, 2021 7:05 pm EDTCredit Card Authorization Uploaded by Kristina Valdmaa - flowerfulevents@gmail.com IP 72.68.28.161, 127.0.0.1, 184.168.224.31, 0.0.0.0