AUTHORIZED AGREEMENT FOR CREDIT CARD PAYMENT TO Butterflies Spa LLC

I (We) hereby authorize Butterflies Spa to initiate charges to my (our) credit card account indicated below and the depository named below,


    VisaMasterCardAmexDiscover Card

    * Fill out and print or print the blank form and complete the entire form legibly with a dark pen. Card holder must sign on the line indicated.
    * IMPORTANT: A fee of 3.5% will be charge additionally to the amount due, this fee covers merchant charges.