This form will not charge your card. The card information provided will be submitted to Katie's Web Design and will be applied for your website hosting plan as previously discussed or approved. If you have any questions please contact Katie at (925) 849-7591 or Thank you.

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Billing Address
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Payment Processing Agreement *
I authorize Katie's Web Design to charge the credit card indicated in this form for items / services approved by myself in writing to Katie's Web Design.