ABOUT US
Our company is your best source for professional, value driven low cost service. Established in 1989 and online since 1992, we have over a decade of collective and comprehensive knowledge and experience. Meaning that we are able to provide the most value and innovation per your dollar spent.
We provide a satisfaction guarantee for all services provided.
CREDIT CARD PAYMENT FORM
NAME
PRODUCT / SERVICE(S)
CARD NUMBER
CVS CODE
(see above)
AMOUNT
EXPIRATION DATE
ZIP CODE
EMAIL (for receipt)
I agree and allow Holistic Health & Healing, Power of the Mind Healing Center and Agents permission to charge my credit card for the amount indicated above. I further agree to refrain from any charge backs for services rendered or products sold. I understand a $25 fee will be assessed for all charges declined by my credit card company.
DATED
ELECTRONIC SIGNATURE
Type full name
THANK YOU FOR YOUR PAYMENT
712 North 22nd Street, Ozark, Missouri 67521
