Order Authorization Form

Thank you so much for your purchase!

To finalize your order please complete this form in its entirety within 24 hours of placing order, to avoid order cancellation or delays.

*All information entered MUST match what is on your order *

Any questions or concerns? Email: hello@bwqluxuriouswigs.com

First Name

Last Name

Cardholder full name (if different from shipping)

Order Number

Order Date

I have authorized this purchase from BWQ Luxurious Wigs, on the date listed above.

Does the billing/shipping address, phone number and email belong to the cardholder?*

Photo ID (Cardholder) Should match address/name on order. You may mark out all other info.*

Choose File

Non-Payment Plan Payments: Photo showing full name and last 4 digits of card (You may mark out other numbers)

Choose File

By submitting this form, the purchaser agrees that all sales are final and the information submitted is accurate.*

I Agree

Signature

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