• Credit Card Authorization Form

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    Payment Method
    Credit Card
    Billing Address
  • I, {cardholderName}, as a cardholder, hereby authorize ABC Company to charge my credit card for {conditiontext} and confirm that the information for the credit card and billing address is complete and accurate.

    I have been informed that I can cancel the recurring payment at least 15 days before the payment by phone or signing a consent form provided by the merchant company.

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