Credit Card Authorization Form
This Credit Card Authorization form is utilized as a formal document consenting to authorization from you the consumer to Pure Opulence Tresses from any fraud related purchases. You must complete this entire form after the purchase of your order for us (Pure Opulence Tresses) to process and ship your order. We will record this document and can send you a copy at your discretion. Thank you for choosing Pure Opulence Tresses.
Name
*
First Name
Last Name
Address
*
Street Address
Apartment Number
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Order #
*
I understand that my order will not be shipped until I complete this form in it’s entirety.
*
Yes
No
I have completely read my order description and agree with the purchase terms and conditions as mentioned on the website.
*
Yes
No
I understand and agree to the processing and shipping time frame for my order.
*
Yes
No
I understand and agree that all sales are FINAL and there are no refunds, no exchanges, or no returns. If there is an issue with your order, please email info@pureopulencetresses.com
*
Yes
No
What are the last four digits of the card you authorize in making this purchase?
*
Please upload your state issued photo identification which matches the name of the order.
*
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of
Signature
*
Date
*
-
Month
-
Day
Year
Date
I agree to the terms and conditions.
*
I Agree
Submit
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