Cardholder Authorization Statement
I, the undersigned, hereby certify that I am the authorized cardholder of the credit, charge, or debit card referenced above. I confirm that I am an approved user of this card and authorize Without A Trace Weavers, Inc. to charge the card for the total amount to be determined at the time of service.
I understand that this transaction is subject to approval by the issuing bank, including the issuance of an authorization or approval code. Furthermore, by signing this form, I acknowledge and agree to be fully responsible for payment to Without A Trace Weavers, Inc., even in the event that this transaction is later disputed or charged back.
I also understand that the charge will appear on my card statement under the name Without A Trace Weavers, Inc..