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E ; Lavishbeautylifestyle@yahoo.com

P ; (337)802-9460

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Card Authorization Form

Please fill out this card authorization form after purchasing. You will have 24hrs to fill out in order to pick up your product! Otherwise your order will be canceled & refunded. Make sure all the information is correct to verify your Purchase.

First & Last Name:

Order Number:

Phone:

Email:

Date of Birth

Address (Must Match ID)

By checking this box I understand that all the information is correct. I have read and agree with Lavish Beauty Lifestyle NO return/refund policy. I authorize this transaction and give Lavish Beauty Lifestyle permission to charge my card for this purchase.

Signature:

I understand that I must submit Government Issued ID by phone or email to verify it is me! (Both listed at bottom of page)

Thanks for submitting!

496 W. Prien Lake Rd. Lake Charles, LA

Lavishbeautylifestyle@yahoo.com

(337)802-9460

© Copyright Lavish Beauty Lifestyle 2022 ® All Rights Reserved ™

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