Credit Card Authorization Miss MyMy | Hair Extensions Online

MyMy Referral

Employment Opportunities

Credit Card Authorization (for products and services)

For a PDF file of this form, click here

I/We hereby authorize Miss MyMy Inc to debit My/Our:
	Visa Amex Mastercard
Credit Card Number:
Expiry Date: mmm-yyyy (ie. jan-1961)
For the amount of:

For Products/Services listed below:

1. Declined Card:
If the card is declined, I guarantee that I will settle any amounts owing to Miss MyMy via money order or Cash within 2 working days of this notification.

2. Refund Policy:
Due to the nature of the product I understand the services/products I am purchasing are non refundable.

3. Deposit:
I understand that a 50% non refundable deposit may be required on some services and products.

4. Credit Card Chargeback:
In the event that payment has been made to Miss MyMy by credit card, you agree that you will not seek to charge back your payment to Miss MyMyInc.

I/We hereby authorize Miss MyMy Inc to charge the above credit card for the purpose of payment of any products and/or services purchased from Miss MyMy and agree to the above conditions.
Signature:
Date: mmm-dd-yyy (ie. jan-01-1961)

For those registering for a seminar this form must be attached to your registration form.