Recurring Billing Form

Secure Billing Form

Card Type *
CC #
Expiration Date
CVC
You can cancel these services at any time as they are not under contract. Though refund is based on the guidelines of that provider and is not the responsibility of Small Shops Co.
Date *
Date

*Note that you may cancel this authorization at any time by contacting us and asking for a de-authorization. This authorization will remain in effect until cancelled. By completing this form you authorize Small Shops , LLC to charge your credit or debit card for agreed upon purchases and understand that your information will be saved to file for future transactions. Also, if you request that Small Shops , LLC set up billing for any third party service such as web hosting, domain registration, or any other charge -- you are solely responsible for that charge and must take up any issues with the third-party.