Give the GIFT of CLEAN with a Gift Certificate from*
 
HOUSE HENS, INC
611 WEIR RD., ASTON PA 19014
househens@verizon.net
610.494.3098
www.HouseHens.com
 
Credit Card Authorization Form
 
Card Type: Visa American Express
  Mastercard Other
 
Card Number:
Expiration Date:
Cardholder Name:
Cardholder Address:
 
 
I hereby authorize HOUSE HENS to charge the above listed credit card in amount of $  .This shall represent PAYMENT IN FULL for a HOUSE HENS GIFT CERTIFICATE to be used at a future date. I understand that this Gift Certificate shall expire within 12 months of the purchase date.
No further charges will be made to this credit card without additional authorization. A final invoice reflecting this transaction will be submitted back to the Client when the Gift Certificate is issued.
 
Signed and agreed:
Print name:
Date:
Notes:
 
*Please print out this form and mail or email to the address above.
 
GENERAL TERMS/CONDITIONS/REFUND POLICY:
Claims for defects, damages, or problems must be made by the Client in writing within a period of fifteen (15) days after receipt of job/work/materials. Failure to make such claim within the stated period shall constitute irrevocable acceptance and an admission that the Client fully complies with terms, conditions and specifications. HOUSE HENíS liability shall be limited to the stated selling price of any defective goods and shall in no event include special or consequential damages, including profits (or profits lost).

This payment is non-refundable unless the Client cancels the order in writing. In case of cancellation, payment is due for work completed on a proportional per job/per hour basis. A refund proportional to this amount shall be granted.
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