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:

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Event Name:  

Event Date:

 

Comment or Message:

 

Address:

 

 

Credit Card Information:

 

 

Date Signed:

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Signed by Michael Heifez
Signed On: March 24, 2025


Signature Certificate
Document name: Credit Card Authorization
lock iconUnique Document ID: 963a0fe20a196f70eec74d1e39378c7968b1222c
Timestamp Audit
March 23, 2025 5:51 pm EDTCredit Card Authorization Uploaded by Michael Heifez - [email protected] IP 68.199.173.182