I authorize Women, Wine & Wellness to charge the credit card as specified on this form according to the terms specified above. The payment authorization is for the products/ services described above for the amount indicated. I certify that I am an authorized user of this credit card and I will not dispute the payment with my credit card company. As a member, I will keep an active credit card on file with Women, Wine & Wellness to ensure my membership stays active. I understand my membership will auto renew for 1 year on my anniversary date, at the listed price, at the time of renewal, and it will be charged to my credit card on file. If I wish to cancel my membership with Women, Wine & Wellness I must submit written notification within thirty (30) days prior to my membership anniversary date.