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Client Payment and Intake Form

Your Information

Business Details

Team Branding

Please Upload your TEAM logo if we selected this option. This will be used to brand your TEAM images

Upload Team Logo.png

Customer Branding

If applicable and you have a business logo, please upload it below and we will include this on your customer graphics. 

If you do not have a customer logo, no problem, we will include your name with one of the following: your website, VIP Page or hashtag you have used in your business. Please also enter your choice in the box below.

Upload Customer Logo.png

Payment Details

By checking here, you authorize Crown Virtual Services to charge the card provided on this form in accordance to our


Select one below, tell us which Subscription you would like join.

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