Credit card authorization form

Upstaged Vancouver

3648 Victoria Drive

Coquitlam, BC. V3E 3H4

604-944-7921

Sign and complete the Credit Card Payment Authorization Form below to authorize Upstaged Redesign & Decor to debit your credit card.

By signing this form, gives Upstaged Redesign & Decor permission to debit your account.

This permission is for all charges associated with terms agreed upon between Upstaged Redesign & Decor and your account.

I / we authorize the Upstaged Redesign & Decor to charge the credit card indicated in this authorization form according to the terms outlined. This payment authorization is for the goods/services described. I certify that I am an authorized user of this credit card.

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