Credit Processing Form
Client Name
Event Date
Payment Amount
Services Paid
Package Deposit (Check) - $500
Package Deposit (Credit Card) - $515
Final Balance
Individual Service Deposit
Type of Card
Visa
Mastercard
Discover
American Express
Name as it Appears on Card
Credit Card Number
Expiration Date: MONTH
Choose one:
January - 1
February - 2
March - 3
April - 4
May - 5
June - 6
July - 7
August - 8
September - 9
October - 10
November - 11
December - 12
Expiration Date: YEAR
Choose one:
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Card Varification Number
Address Associated with Card
Phone Number
Email Address
SUBMIT
Thank you for choosing Bugbee's DJ Plus to be part of your special event. Our team looks forward to serving you. A receipt will be emailed back to you confirming your payment.