Recurring Payment Authorization Form

Card Information

Credit/Debit

You hereby authorize Cali Happy Paws LLC recurring charges to your credit or debit card. You will be charged the amount indicated below each billing period. You understand that no payment notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 14 days before payment is processed. Fill in and submit this form to get started.

By submitting this form you grant us permission to debit your account for the services specified on the time intervals specified. This is a permission for recurring transactions. Services rendered will be provided strictly according to our policies.

Name *
Name
Phone *
Phone
Service Recurrence (Weeks) *
Membership Package *
Account Type *
*Name must match precisely name on card
Billing Address *
Billing Address
Terms of Agreement *
MM/YYYY
Three digits on back of card