Karwaala - Authorize it!

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IMPORTANT NOTICE

Please note that any payment submitted AFTER business hours will not be processed until the FOLLOWING business day. This includes payments made late night, weekend, and/or holidays.

MAKE SURE TO SUBMIT YOUR PHOTO PROOFS AS REQUESTED BELOW

Thank you for utilizing this form, your patience, and payment.
Your CC Name*

First NameLast Name
Your Email
example@example.com
Payment Option (Please confirm your one-time charge)*
Exact $ Amount to Charge*
Exact Date to Submit Charge

MonthDayYear
Charge Date
PLEASE UPLOAD PROOFS
Documentation submission
Upload front CC picture*

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Upload back CC picture*

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Upload license front picture*

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Upload misc documents (if requested)

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IF YOU ARE SUBMITTING THIS PAYMENT ON BEHALF OF SOMEONE ELSE, Please type their full name (First/Last) here:
Message / Additional Info (if any)
Your CC Billing Address*
CC Expiration Date (Month/Year)

MonthDayYear
Charge Date
I, {cardholderName}, hereby authorize Karwaala, Inc, DBA Karwaala Finance, and their successors, assigns, affiliates, subsidiaries, new acquisitions, and joint ventures, regardless of which name they operate under, to process my card and agree to cover per the retail installment contract and/or repair order, for the account of the customer named in retail installment contract/repair order, according to card issuer bank cardholder agreement and/or merchant agreement, and agree not to dispute this document indicating authorization. I confirm that the information for the cc and billing address is complete and accurate.
Today's Submission Date

MonthDayYear
Date
Your Signature

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Should be Empty:

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Documentation submission