payment plan

PAYMENT PLAN AGREEMENT

NAME: _____________________________________________ DATE: ____/____/____

ADDRESS:

____________________________________________________________________________________

EMAIL: _____________________________________________ PHONE: __________________________

CONTRACTED SERVICES (DESCRIPTION): ___________________________________________________

PHOTOGRAPHER: ______________________________________________________________________

I hereby authorize Samantha Hayn Photography LLC to charge the credit card account automatically on the dates stated below, and to apply said charges towards the payment of my photographic purchase totaling $___________________ until the amount is paid in full. For Each payment made by credit or debit card there will be a 4% fee added to cover card payment charges. I understand that no digital images, prints, albums, canvases or products of any sort will be delivered to me until the amount owed is paid in full.

I, ____________________________________, allow Samantha Hayn Photography LLC to debit $_____._____ on the date of ____/____/____ for ___________ months.

Client Signature: ___________________________________________________________________________

Photographer Signature: _____________________________________________________________________