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Credit Card Authorization Form

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Credit Card Authorization Form

The final estimated price is :

(front picture only)

(must match name on credit card)

By signing below, I acknowledge and authorize Mom's Party Rental LLC to charge my credit or debit card for the total amount due. I confirm that the services and products outlined on the invoice have been accurately stated, and I accept full responsibility for all rental items as detailed in the contractual agreement.

Summary

Description Information Quantity Price
Discount :
Total :

Signature