Painting Lounge - Payment and Gratuity Authorization Form

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Please fill out this form if you would like to add a payment or add gratuity for your instructor, and to pay for it using the credit card we have on file.

Email *

Your phone number *

Your name (Electronic Signature) *

Yes, I am giving permission that Painting Lounge can charge the card on file for the amount entered below.

What amount are you authorizing we can charge to the card on file? *

What's this payment for? *

Gratuity for the instructors

Additional seats/participants

Additional studio time

bottles of water

Sample Paintings or Frames

Other:

Required

If you clicked more than one of the options above, please let us know how the charge is to be divided up.

For example: $50 tip for the teacher, plus $70 for two additional seats, and we also added 1-hour of studio time for $180, as well as we bought 25 bottles of water for $25.

Other comments or suggestions

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