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QUOTE
AR (501) 680-3145
UT (435) 669-6898
CLEANING DINO
Client Credit Card Authorization Form
Name on Card
Billing Address
Billing Zip
Email
Phone
Cleaning Service/Schedule
Authorized Amount $
Type of Card
Card Number
Expiration Date
Security Code
If I cancel my scheduled service on the same day, I will be charged a fee of $150. If I cancel within 48 hours but not on the same day as the scheduled service, I will be charged a fee of $100.
By submitting this form as an authorized cardholder or corporate officer, I acknowledge and accept the terms of this agreement. I agree to pay for the services provided and authorize the use of my credit card for these charges. Should my credit card become invalid, I agree to provide a new, valid credit card on the same day to cover any outstanding balances. A $25 processing fee will be applied if my card is declined, with an extra $25 added to the final bill for each day the payment remains unsettled.
I understand that any charges incurred for services performed by Cleaning Dino are non-refundable. If I have made a pre-payment, any unused portion will be refunded within 30 days. Additionally, I acknowledge that if my home is not reasonably decluttered before the scheduled service, a service charge of $50 will be added to my final bill.
Minor imperfections such as dirt, crumbs, fingerprints, etc... left behind by our cleaners, as well as any unreasonable irregularities, do not qualify for a discount.
Your Signature
Clear
SUBMIT
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