CREDIT CARD AUTHORIZATION FORM

Complete this form to authorize Zuri Wilkes Photography to make a one-time charge to your credit card listed below. By completing this form, you give Zuri Wilkes Photography permission to charge your account for the amount indicated plus an additional non-refundable 4% processing fee. This permission is for a single transaction only, and does not provide authorization for any additional charges to your account.

Name

First Name

Last Name

Card Number

Expiration Date

YYYY

Amount

Our Office

East End
Anguilla, AI-2640