I authorize Pocono Pharmacy to keep my signature on file and to charge the above credit card to purchase medications and health care products / services from Pocono Pharmacy. I understand that this form is valid through the expiration date of the card unless I cancel the authorization through written notice to Pocono Pharmacy. This guarantee shall be continuing and unconditional unless canceled by responsible party via written notice to Pocono Pharmacy, 300 commerce Blvd, Stroudsburg, PA 18360. Phone # (833)-922-6284.