Payment Authorization Form
By completing this form you are confirming the agreement with Jae Way Extensions LLC for order placement and payment authorization. You will be asked to upload a photo of your Government issued ID (Name must match name of order placed) for verification purposes only.
Name
*
First Name
Last Name
Back
Next
Address As Listed On Order
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Back
Next
Identity Verification
(Driver's License or Government ID)
File Upload
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Back
Next
Last 4 digits of card used to make purchase
*
Signature
Submit
Submit
Should be Empty: