Credit Card Info
A credit card is required to be on file per the 24 hour cancellation and no-show policies in order to book an appointment with SarahLashedYou. Your card info is protected by Square and this form will be deleted once the card is put on file. The card used to pay the deposit is NOT put on file which is why this form must be filled out as well. (If you are uncomfortable with putting your card information onto this form, please text me at (502)-234-7077, and we will set up a time for you to give me the card info over the phone.)
First Name
Last Name
Phone Number
Credit Card Number
Expiration Date
CVV Code (# on back of card)
Zip Code
Submit
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