I authorize Bath Drug Pharmacy to keep my signature on file and to charge the above credit card to purchase medications and health care products / services from Bath Drug Pharmacy. I understand that this form is valid through the expiration date of the card unless I cancel the authorization through written notice to Bath Drug Pharmacy. This guarantee shall be continuing and unconditional unless canceled by responsible party via written notice to Bath Drug Pharmacy, 310 S Walnut Street Bath, PA, US 18014. Phone # 610-837-9992.