PAYMENT PLAN AGREEMENT YOUR INFORMATION Name * First Name Last Name BILLING ADDRESS * Address 1 Address 2 City State/Province Zip/Postal Code Country Email AGREEMENT TERMS Karen Nicole Photography has permission to process payments on the specified dates and for the amounts stated on the portrait order invoice. I understand that products and services will be delivered after the payment plan is completed. If this contract is violated, late fees may be assessed at $25 per month. I agree to pay any fees and costs that Karen Nicole Photography may incur in collection of my balance owed. If necessary, a claim will be filed in small claims court for the balance owed and fees incurred. Alabama residents must be 19 years of age and Tennessee residents must be 18 years of age to sign this agreement. PAYMENT INFORMATION Primary Credit/Debit Card Number: * Expiration Date * CVC/Security Code Number: * Billing Address (if different than above) Secondary Credit/Debit Card Number: (if primary card is declined) * Expiration Date * CVC/Security Code Number: * Billing Address (if different than above) SIGNATURE * By electronically signing this agreement contract , I am stating that the information is true and I agree to the terms above. Thank you!
