Customer Order Confirmation and Verification Form

Customer Order Confirmation and Verification Form

This form is to be filled out by customers of Hair in the Mirror.
Thank you for your purchase from Hair in the Mirror. Our goal is to make your shopping experience as secure as possible. This form will capture your official authorization for your order placed through our website (www.hairinthemirror.com).

Instructions

To protect both you (the customer) and us (the business), we require you to complete this order confirmation and verification form within 24 hours of your purchase. Your completion of this form allows us to begin processing your order for shipping. Failure to submit your form within 24 hours of your purchase will result in the cancellation and refund of your order, minus a 10% payment processing fee.

You will be required to upload a copy of your photo ID. All customer information is protected and is only used by us to verify that the cardholder is placing this order. Your information will not be shared. Your form will be kept on file and a copy will be sent to you after submitting.

If you have any questions about this form or your order, please email us at support@hairinthemirror.com. We appreciate your cooperation in securing your purchase. Thank you for shopping with Hair in the Mirror.
Name*

First NameLast Name
Order Number*
Ex. HM1001
Email*
Ex. support@hairinthemirror.com
By checking the box below, you agree to the following:
- I have read all product descriptions for my order and understand what I have purchased and what I will receive.
- I understand that custom colors can look different based on screen settings and lighting.
- I understand and accept the return policy. I accept that all sales are final and I will contact support@hairinthemirror.com if there is an issue with my order.
- I understand and accept the shipping policy. I accept the processing time listed for the product I have purchased. I understand that business days are Monday - Friday and do not include weekends or holidays.
- I agree not to file a dispute or chargeback for this purchase through my credit/debit card network or bank.
- I understand that my order will not be processed or shipped until I complete and submit this form.
Failure to agree will result in the cancellation of your order, minus a 10% payment processing fee.
Please upload a clear picture of the front of your ID. The name and address on your ID must match the name and address used for your purchase.*

Cancelof
Please enter the last 4 digits of the card used for your purchase.*
Ex. 1234
Please check the box below to certify your use of this card.*

I am authorized to make a purchase with this card.
Signature (Name must be legible. Scribbles will not be accepted).*
Should be Empty: