[ Credit Card Authorization ]

At Studio RM, we take your privacy and security seriously. This authorization form allows us to process your payments efficiently for services outlined in your client agreement.

All information is kept confidential. Please complete the form below to authorize payment.

Name

First Name

Last Name

Phone

(###)

###

####

Billing Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Credit Card Information

Card Type

Visa

Mastercard

Amex

Other

Name on Card

First Name

Last Name

Card Number

Expiration Date (MM/YY)

CVV

Specific Amount Authorization

If you are authorizing a one-time payment now, you may enter the amount below. Leave blank if this form is being submitted for future or recurring use.

Authorization

Please select all that apply.

I authorize Studio RM to charge my card for agreed-upon services and expenses.

I authorize Studio RM to charge this card for recurring payments, deposits, or balances related to the project(s) we are working on together.

By submitting this form, I authorize Studio RM to charge my card for agreed-upon services and expenses. I understand that this form provides Studio RM with ongoing permission to charge this card for future payments related to our project(s), including deposits or recurring balances as applicable. Submitting this form serves as my electronic authorization.

Today's Date

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