IN ORDER FOR US TO PROCESS YOUR ORDER. ALL OF THE

INFORMATION BELOW MUST BE COMPLETED. A COPY OF THE FRONT

AND BACK OF THE CREDIT CARD MUST BE SUBMITTED. PLEASE BE SURE

TO EMAIL ALL OF THE DOCUMENTS. WE ACCEPT VISA, MASTERCARD,

AMERICAN EXPRESS AND DISCOVER CARD.


 

Credit Card Authorization


I authorize UR LUXE EVENTS Candy Buffets to use this credit card payment for purchases, rentals, additional time, late

charges and/or loss & damage charges incurred. Additional time, late, damages and lost charges incurred will

be automatically charged to this card. Deposits (if any) will be run as a
“hold” on the funds denoted. I understand

that even though I may return items early, my credit card company may not release the funds for up to (10) days. 

Date: ____________________________

Please Print Your Full Name: _________________________________________________________

Please Print Your Address: ___________________________________________________________

City and State with Zip Code: ________________________________________________________

Please provide a valid telephone number: _____________________________________________

Please provide a valid email address: _________________________________________________

CREDIT CARD INFORMATION IS AS FOLLOWS:

Name on the card: ____________________________________________________________

Billing Street Address: __________________________________________________________

Print credit card number clearly__________________________________________________

Billing Zip Code _________________ Card Type: {     } Visa  {      } MC  {      } Amex  {       } Discover

Expiration Date __________ / ___________ Verification Code ________ 

The verification code for Visa, Mastercard
, and Discover are the 3 digits located on the back of your credit card for
Amex the verification code is the 4digit located on the front of your card. 

Driver’s License Number __________________________ State Issued _________ Exp. Date ________

Signature___________________________________________________.

 

Credit Card Authorization Form

​                      UNIQUE ROYALE

   UR WEDDING/PARTY/EVENTS PLANNER

 UR LUXE EVENTS