Credit Card Authorization Form

Credit Card Authorization Form

Name*

First Name

Last Name

Billing Address*

Address Line 1

Address Line 2

City

State

ZIP Code

Email*

Phone*

Terms & Conditions:

By checking the box below and electronically signing this form, I hereby authorize Mountain Hot Tub to charge the credit card on file for all currently scheduled service work AND agree to keep that card on file to be charged for any and all future service worked that is authorized. Upon the expiration of said card or in the event of the card's cancellation, I understand that Mountain Hot Tub may contact me for updated card information for future authorized purchases.

Acknowledgement*

I acknowledge and accept the above terms and conditions.

Credit Card

Signature*

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Use your mouse or finger to draw your signature above