Work Order | MJ Squad

Credit Card Authorization Form

Requesting Party's First & Last Name

Company

Today's Date

Name on Credit Card

Credit Card #

3 Digit Security Code

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Country

Notes

I authorize MJ Small Business Squad LLC to keep my credit card on file for any future transactions until I request a cancellation. I understand that the terms of this authorization will remain in effect until I request that they be terminated. I acknowledge that I am responsible for making this request in writing. This contract may be signed electronically or in hard copy. If signed in hard copy, it must be returned to the Business for valid record. Electronic signatures count as original for all purposes.By typing their names as signatures below, both parties agree to the terms and provisions of this agreement.

Your Authorization Signature

Thanks! We have received your authorization.

Credit Card Authorization Form

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