Run! Day Camp for Dogs

Payment Form


WELCOME

 

GENERAL INFORMATION

Owner Name
 
Dog Name
 
Phone
 
Email
 
BILLING AGREEMENT

Billing Address

Type of Card (No American Express Accepted)

Name

Card Number

Expiration Date

CVC Number (3 Digits Located on Back of Card)

I hereby authorize Run! Day Camp For Dogs LLC to run payments on the card information listed above. Payments will happen at the end of each week that I use the service in either day care or the overnight program.
 
Initials
 
Date
 

PAYMENT TERMS

You agree to maintain a current, valid credit card with Run! You agree that Run! may charge any fees or costs assessed to you by Run! to your credit card on file. If your credit card is declined for any reason, then you agree that Run! may pass any additional charge assessed by any financial institution directly on to your account.
 
 
 
Thank You for completing our payment form. Please enter name, email and signature below and we will be in touch within 48 business hours.
 
 
 

Leave this empty:

Run! Day Camp for Dogs https://www.daycampfordogs.com
Signature Certificate
Document name: Payment Form
Unique Document ID: 0fd86a8678786ac00f2dfbdfffc411ca77796ba5
Timestamp Audit
July 17, 2019 10:31 am PDTPayment Form Uploaded by Erica Ochs Ochs - erica@daycampfordogs.com IP 50.38.114.140