Payments Authorization Form

I hereby authorize Nuage Designs to process my credit or debit card for all charges related to a confirmed rental or purchase order, including any rental or purchase costs, Damage Protection Coverage, roundtrip shipping costs, taxes, and any damage or replacement fees.

Contact Name *

Phone *

Email *

Company Name *

The name of your business, or the name of the planner, designer, florist, venue, etc who placed the order on your behalf.

Authorization Type *

Job Number: To link a job number to this authorization.
Statement: Leave credit card on file for future orders and apply payment to open statement balance.

Job Number *

The 6-digit job number at the top right of your rental invoice.

Keep this card on file for future orders and as a payment option to open statement balance.

Credit Card Details *

Card Holder Name *

City *

State *

Zip Code *

I certify that I authorize this credit card to be billed for services according to the conditions stated here without dispute.

Opt for ACH/Wire Payments
Should you prefer not to use your credit card on file as your primary method of payment, please click below to view ACH and Wire Payment remittance instructions:

Using the banking details outlined below, please coordinate your ACH or Wire Transfer payment directly with your banking institution.
Required: please email a copy of your bank's payment confirmation along with your Nuage Designs Job Invoice Number to accounting@nuagedesigns.com to ensure accurate posting of your payment.

ACH Information
Beneficiary Name: Nuage Rentals Inc
Account: 009064691702
ABA - Routing #: 067092022
Receiver Bank Name: First Citizens Bank
Bank Address: Raleigh, NC USA

Wire Information
Beneficiary Name: Nuage Rentals Inc
Account: 009064691702
ABA: 053100300
SWIFT: FCBTUS33
Receiver Bank Name: First Citizens Bank
Bank Address: 100 E Tryon Rd. Raleigh, NC 27603 USA

I elect to remit all payments via ACH/Wire Transfer and am providing my credit/debit card for incidental use as required by the Nuage Designs Rental Agreement.

Prefer to pay by ACH/Checking Account?
By providing your ACH banking information, you authorize Nuage Designs to draft an automated clearing house (ACH) debit from the checking or savings account of your designation for payment towards approved invoice(s) as confirmed with your Nuage Designs account executive. Payments will be automatically drafted in accordance with the fee schedule outlined on your order invoice as per the terms of the Nuage Designs Rental Agreement and will not require your express consent at each scheduled payment.

Nuage Designs requires a signed Rental Agreement on file prior to any rental order transaction. Please take a moment to read and understand these Terms, including our policies related to order revisions, cancellations, damaged/missing items, and more.