Order Confirmation Form

Order Confirmation Form
The order confirmation form protects you (Customer) and us (Lizo Luxe Hair) from any fraud related purchases. This form is an authorization of purchase from you (Customer) to Lizo Luxe Hair. You must complete this entire form after purchase in order for us (Lizo Luxe Hair) to process and ship your order. If the order confirmation form is not filled out to its entirety within 2 business days from purchase, you will be refunded and subjected to a $200 restocking fee. Also, if you have purchased using one of our installment options like Klarna or AfterPay, there will be a 15% restocking fee plus the $200 restocking fee. We will record this document and can send you a copy at your discretion. Thank you for choosing Lizo Luxe Hair!
Order Details
Customer Name:*

First NameMiddle NameLast Name
Order Number
Date of Order

MonthDayYear
Date
Phone Number
Please enter a valid phone number.
E-mail*
example@example.com
Billing Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Shipping Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Product Details:
Quantity:
Unit Price:
Total Price:
Payment Information:
Mode of Payment*
Payment Status

PendingProcessed
Shipping Method:
Estimated Delivery Date:

MonthDayYear
Date
Did you purchase in-store or online?

In-storeOnline
I understand that my order will not be shipped until I complete this form in its entirety.

I agree & understandI disagree
I have completely read the description of the item purchased.*

YesNo
Are you aware of our policies? Processing times, shipping times and return policy?

YesNo
I have read, understand and agree to the processing times. I understand processing times can vary and processing days are business days (M-F).

I agree & understandI disagree
All sales are FINAL and there are no returns or exchanges. If there is an issue with your order, please contact admin@lizoluxehair com.

I agree & understandI disagree
What are the last four digits of the card used to make your purchase(s)?
Are you authorized to use the card that you purchased your order with and provided the last four digits for?
Upload Photo ID (Name and address on ID must match the name and address on the order.)

Cancelof
Signature

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Confirmation:
- This is a confirmation of your order. Please review the details above.
- By placing this order, you confirm that you have read and agreed to our terms and conditions.
Should be Empty:

Order Confirmation Form

Order Details

Product Details:

Payment Information: