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  • Credit Card Authorization Form

    Credit Card Authorization Form

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    USD
    Credit Card
    Billing Address
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  • I, {cardholderName}, hereby authorize Down South Distributors to charge my credit card and store my payment information in their system for current and future orders on an ongoing basis. I confirm that the credit card details and billing address provided are complete and accurate. I understand that any issues or disputes must be addressed directly with Down South Distributors, and I agree not to initiate any chargebacks.


    I have been informed that I may cancel my account and request the removal of my payment information from Down South Distributors database by phone or by signing a consent form provided by them.


    I also acknowledge that I am personally responsible for any unpaid or past-due invoices, including those subject to chargebacks, even in the event of the company’s non-payment or insolvency. I agree to act as a personal guarantor for any outstanding balances owed to Down South Distributors.

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