Payment Plan Form: Kook & Lima ⬇️
Cardholder
*
First Name
Last Name
Payment Plan
*
prev
next
( X )
Kook & Lima Payment Plan
Four discounted payments of $997 starting today and continuing monthly for four months.
$
997
for each
month
Email
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Plan Terms:
I hereby agree that my above Card may be auto-charged in the discounted amount of $997 per month, beginning today and continuing on the same calendar day of each consecutive subsequent month, for a grand total of FOUR (4) payments:
Signature
*
Submit
Submit
Should be Empty: