CREDIT CARD AUTHORIZATION FORM

P R O F E S S I O N A L
I N V E S T I G A T I O N S
140 Reynolds School Road Asheville, NC 28803 828 712-6990 tomchickos@gmail.com www.professionalinvestigationsnc.org
CREDIT CARD AUTHORIZATION FORM
Name on Card

First Name Last Name
Billing Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Client's Phone Number:
Amount of retainer: blanks
I authorize Professional Investigations to charge the amount listed above to the credit card I provide to them. I agree to pay for this service in accordance with the issuing bank cardholder agreement. I also agree to pay any additional charges above the retainer as discussed with Professional Investigations.
Signature

Clear
Date

Month Day Year
Date
Should be Empty: