Credit Card Authorization Form

Credit Card Authorization Form

UFL Debt Shield
Cardholder Name

First NameLast Name
I, {cardholderName}, as a cardholder, hereby authorize UFL Debt Settlement to charge my credit card for UFL Debt Shield and confirm that the information for the credit card and billing address is complete and accurate.

I have been informed that I can cancel the recurring payment at least 15 days before the payment by phone or signing a consent form provided by the merchant company.
Date

MonthDayYear
Date
Cardholder Signature

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My Products

UFL Debt Shield Special. UFL Shield provides essential protection by offering unlimited court responses and motions, ensuring a robust defense in legal matters. This service is particularly crucial in cases involving debt negotiations with collection agencies, helping clients effectively manage and resolve outstanding accounts. With UFL Shield, individuals can confidently navigate legal and financial challenges, securing their rights and improving their chances for a favorable outcome. Add your spouse for free.

$50.00 for the first month then,$50.00 for each month

Total

$0.00

Credit Card

First Name

Last Name

Credit Card Number

Security Code

Expiration Month

Expiration Year

Billing Address

Street Address

Street Address Line 2

City

State / Province

Postal / Zip Code

Country

Email
example@example.com
Phone Number
Please enter a valid phone number.
Should be Empty: