About
GALLERY
Paper
Flower Walls
Structures
FAQ
Contact
About
GALLERY
Paper
Flower Walls
Structures
FAQ
Contact
CREDIT CARD AUTHORIZATION FORM
ORDER NUMBER
Name on Card
*
First Name
Last Name
Email Address
*
Billing Phone
*
(###)
###
####
Billing Address
*
Address 1
Address 2
City
State/Province
Zip/Postal Code
Country
Card Number
*
Expiration Date
*
CVV/SECURITY CODE
*
Card Type
*
Visa
Mastercard
Discover
American Express
Required
*
Must select all
I understand and agree to pay, and specifically authorize HighGarden Events to charge my credit card for the services provided. I further agree and authorize my credit card to be charged for any outstanding balances owed.
I understand by checking this box, my information is to be kept on file for further charges, if any, for damages and replacement fees. I agree and authorize these charges on my credit card, if any.
Digitally signing this agreement has the same effect as manually signing a paper original.
*
Signature
Your information has been securely submitted!
Thank you!