NAILS Credit Card Authorization Form

Mystic Gigi Nails

801-347-2360 - Mysticgiginails@gmail.com
Credit Card Authorization Form
I authorize Misty with Mystic Gigi Nails to charge my card on file for any fees I May occur and understand that there is no REFUNDS Or RETURNS on these charges, and they do not go towards my services unless otherwise specified.

LATE- $10 every 10 minutes. NO SHOW- $50.
CANCELLED - $50.
Late past 25 min and we can still service you it's $25 fee plus ALL services.

Any and all Fees must be paid before services are performed.
Client Name

First NameLast Name
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number

Area CodePhone Number
PLEASE CHECK BOX AND SIGN BELOW
Signature

USD

Payment Method
Credit	Express

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Cardholder Signature
Date

MonthDayYear
Date
Should be Empty: