Card Authorization

Agreement *

We’ll collect your credit card details and deduct your agreed monthly payment on the same day each month.

I agree to the terms and conditions stated on this agreement form.

CARD INFORMATION

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First Name

Last Name

Card Number

CVC

BILLING INFORMATION

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Billing Address

Billing Address 2

Billing City

Billing Country

Billing Zipcode

Authorize My New Credit Card

This updates the card in our system. You may see a $1 "hold" in your account that will disappear within 7 to 9 days. You will not be billed this charge!

SUBMIT

Secure Payment Disclaimer

Life Coach for Teens uses Stripe to secure your payment details for every transaction. Stripe is one of the worlds’ most secure payment processors. With Stripe, you never have to create a member account. Stripe provides a secure 256bit encrypted SSL session to protect your privacy, including credit card information. Credit card numbers are never seen by us, nor are they stored by our system. Once your payment has been validated, your data is destroyed by Stripe: this is why we ask for your payment card number again for each new order. This provides the highest possible level of security to make your online shopping experience safe and secure.