Purchase Authorization Form
To protect your purchase and prevent unauthorized transactions, 31 Luxe Hair requires this Purchase Authorization Form to be completed after placing your order.By submitting this form, you confirm that you are the authorized cardholder or have permission to use the card for this purchase, and that you agree to our store policies.Note: Orders will not be processed until this form is completed.
Cardholder Name
First Name
Last Name
Phone Number
Email
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Order #
Total Purchase Amount
Type of product
Please Select
Wig
Hair Extensions
Closure
Other
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Authorization and Policy Acknowledgement
I confirm that I am the cardholder or have permission to use this card for this transaction.
I authorize 31 Luxe Hair to charge my card for the amount listed above.
I understand all sales are final due to the custom nature of the products.
I agree to the store's policies, including processing times, shipping, and returns.
Cardholder Signature
Date
-
Month
-
Day
Year
Date
Authorize My Purchase
Authorize My Purchase
Should be Empty: