Credit Card Authorization Form
Total amount to charge: $
By signing this form I authorize the above credit card to be on file for future payments and am aware that all payments carry with them restrictions and/or penalties once applied.
Sometimes charges will be made in international currency. Foreign purchase fees from credit card companies may apply.
Client assumes all risk and responsibilities associated with using debit cards for payments.
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Your legal name
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If you have questions about the contents of this document, you can email the document owner.
Document Name: Credit Card Authorization Form
Agree & Sign