Payments

Name

Email Address (for receipt purposes)

Name As Appears On Card

Card Type

Visa
MasterCard

Card Number

Exp. Date

Amount in US Dollars

Processing Date (Date in which you would like the transaction processed)

Digital Signature

Authorization

By checking this box, I hereby authorize Christin's Cakes to apply the above charge to the card in reference, on the date I have specified.

By submitting this form, you agree to pay the specified amount above. This form will not automatically charge your card at the time of submission, and strictly provides Christin's Cakes with the necessary information to apply the charge. An electronic receipt will be sent to you through email within 48 hours of processing. You may be asked to sign an additional receipt at time of delivery.