Credit Card Authorization Form

Credit Card Authorization Form

180° LOVE COACH
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I, {cardholderName}, as a cardholder, hereby authorize 180° MARRIAGE RULE COACHING, LLC. to charge my credit card for COACHING SERVICES and confirm that the information for the credit card and billing address is complete and accurate.

I have been informed that I can cancel the recurring payment at least 15 days before the payment by phone or signing a consent form provided by the merchant company.
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One Time PaymentConsultation/Couple's Assessment : 1 Session
$120.00



Monthly PaymentMaster Christian Life Coaching Session: Online coaching- 4 sessions
$240.00



Quarterly PaymentMaster Christian Life Coaching Session: Online Coaching- 12 sessions.
$360.00



Yearly PaymentMaster Christian Life Coaching Session: 4 session a month for a year.
$1,440.00



One Time PaymentSymbis Marriage Facilitator Overview: 2 Sessions Bi-Weekly
$120.00 Quantity
Item subtotal:$0.00



One Time PaymentS.C.A.R.S : Self Care Always Releases Scars (Anger Management Coaching Class) helping client cope and process their feels giving them tools to deal with inner wounds that's causing them to be angry.
$240.00 Quantity



One Time PaymentS.C.A.R.S : Self Care Always Releases Scars Mental Health Coaching, per session.
$120.00 Quantity



One Time PaymentD.O.V.E : Deeper Offering Volition Everyday Spiritual Coaching: 2 Sessions Bi-Weekly
$120.00 Quantity



One Time PaymentCouple's Spiritual Bootcamp Workshop: Rebuilding communication with God and each other in your relationship.
$120.00 Quantity



One Time PaymentDreamer Chaser Coaching: Personal Development, career setting goals, destiny changer coaching.
$120.00 Quantity



One Time PaymentInitial Consultation: Coaching Evaluation
$120.00 Quantity
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180° LOVE COACH

ZADORA CARTER
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Credit Card Authorization Form

180° LOVE COACH