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Please fill out the form provided with information regarding a debit or credit card you want to use to hold your appointment spot. Failure to do this within 24 hours of booking could result in a loss of appointment space. We do require a card to be on file in order to save your appointment. Any information provided is guaranteed to be 100% encrypted for your protection and will not be shared or given to anyone or any other company.
Card Authorization Form (jpg)
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