8484 Walnut Hill Lane
Dallas, Texas 75231
469-620-2828
book@chewac.org
RESCUE Details:
Rescue Name
*
Date Founded
*
-
Month
-
Day
Year
Date
Billing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Primary Number
*
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I hereby certify the information above is complete and accurate. I understand that my credit card will be charged for services rendered, no exceptions. I agree that I am responsible to pay for all charges that are incurred for the rescue name listen above. I understand that if I do not abide by this contract, it will be terminated immediately.
A credit card must be stored in our 3rd party system (Cardpointe). Your credit card will be charged after your bill is reviewed by a CHEW team member, and sent to you via email. Cardpointe uses CardSecure as a proprietary layer of defense to protect every credit card transaction and prevent harmful data breaches. CardSecure is a proprietary layer of defense for CardPointe that protects every credit card transaction. Please call CHEW with your credit card information
*
I understand my credit card will be stored and charged for services rendered
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