eFindOutTheTruth.com, Inc.® CREDIT CARD AUTHORIZATION FORM

PLEASE PRINT, COMPLETE, AND FAX THIS AUTHORIZATION TO (954) 252-4493.

 

Cardholder Name: __________________________________________

 

 

Signature:         ____________________________________________

 

Billing Address:  ____________________________________________

                         ____________________________________________

Credit Card Type:
                          ___ VISA   ___ MASTERCARD ___ DISCOVER ___ AMEX

Credit Card Number:
                                ________________________________________
Expiration Date:
                                _______ / ______

 

Card Identification Number:  __________

Amount Charged:  $________________ (USD) 

 

Item or Service: _____________________________________________

 

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