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MARKETING SERVICES

CREDIT CARD PAYMENT AUTHORIZATION FORM

I authorize Point2 Marketing Group, LLC to process payment for amounts due from the account listed below. For recurring authorization, this authority is to remain in full force and effect until Point2 Marketing Group has received a 30 day advanced written notification from me.

Credit Card Information
Company Name:
Mobile Phone:
Email:
Cardholder Name on Card:
Billing Address: Billing Zip Code:
Card Number: Expiration: Sec. Code:
CREDIT CARD PAYMENT AUTHORIZATION FORM

I authorize Point2 Marketing Group, LLC to process payment for amounts due from the account listed below. For recurring authorization, this authority is to remain in full force and effect until Point2 Marketing Group has received a 30 day advanced written notification from me.

Credit Card Information
Company Name:
Mobile Phone:
Email:
Cardholder Name on Card:
Billing Address:
Billing Zip Code:
Card Number:
Expiration:
Sec. Code: