Phone: 404-352-CURL(2875)
1339 Marietta Blvd NW A, Atlanta, GA 30318

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Credit Card Authorization Form

Name*
First Last
Date*
MM slash DD slash YYYY
Please enter the amount you are authorizing Southern Curl to charge on your credit card. Your card will be charged over the phone.
Type of Card
Signature
by signing this document, you understand your deposit can be returned only if you cancel before the 48 hour cancelation policy, otherwise you will forfit this deposit in full.