Credit Card Authorization Form

Credit Card Authorization Form

Clio Disputing Program.
Cardholder Name

First NameLast Name
Clio Disputing Program
I, {cardholderName}, as a cardholder, hereby authorize United Funding Logistics, LLC to charge my credit card for Clio Disputing for $25.00 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.

By signing up for services with United Funding Logistics, LLC, you agree to the following terms:

1. Credit Report Requirement: Clients are required to provide their own credit reports to participate in the disputing process through our Clio Program.

2. Payment Terms:
- An upfront payment of $25.00 is due at the time of sign-up.
- Thereafter, a monthly payment of $25.00 will be charged for continued access to our services.

3. Cancellation Policy: Clients may cancel their subscription at any time by providing written notice. Upon cancellation, future monthly payments will cease, but prior payments are non-refundable.

By proceeding with payment, you acknowledge and agree to these terms.

United Funding Logistics, LLC
Date

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Date
Cardholder Signature

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My Products

Clio Disputing Program Product Image

Clio Disputing ProgramClio Disputing Program for TransUnion, Equifax & Experian.

$25.00 for the first month then,$25.00 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

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