Isacks Photography • 850.687.7027

info@isacksphoto.com

 

 

CREDIT CARD AUTHORIZATION FORM: ALL INFORMATION ENTERED IS SECURED AND KEPT CONFIDENTIAL

full NAME: *
full NAME:
{as appears on credit card}
{address, city, state and zip}
{best number to reach you}
TYPE of Credit card: *
AUTHORIZATION: *
*I give Lesley Isacks Photography, permission to authorize payment for services rendered. I understand and consent to use of my credit card without signature.