I AUTHORIZE AND REQUEST ORGANIC DAY SPA 1111 TO PROCESS A CHARGE ON MY CREDIT CARD, AS INDICATED BELOW. PLEASE NOTE ALL CERTIFICATES ARE NON-TRANSFERRABLE , NON- REFUNDABLE, AND SUBJECT TO A 24 HOUR CANCELLATION POLICY.
Card Type :
Credit Card Number :
Expiration Date :
CV Number :
Cardholder Name :
Cardholder Billing Address :
City :
State :
Zip :
Charge Amount : $
I AGREE TO PAY THE ABOVE TOTAL AMOUNT ACCORDING TO THE CARD
ISSUER AGREEMENT.
Cardholder's Signature :