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Credit Card Authorization
Date:
Subject of Request

 

To:              allcasesinvestigativeservices.com

                   324 S. Diamond Bar Blvd # 203

                   Diamond Bar, CA 91765

 

Date Received:
     
File No.

 

 

From:

Your Name:
Company Name:
Credit Card Billing Address:
City:
State:
Zip:
Home Phone:
Work Phone:

 

By this memo, I authorize (allcasesinvestigativeservices.com) to be paid for the transactions of the above-referenced company in the amount of

by using the credit card listed below.
Master Card
Visa
American Express
Discover

Credit Card Number:
Exact Name as it Appears on the Card
 
 
Expiration Date
 

I understand the charge for the above service is non-refundable, non-revocable, and non­ contestable.  I waive my right of refund and/or to dispute the charge.

By:
Authorized Signature for Credit Card
Date:

 

Please Mail this from at help@allcasesinvestigativeservices.com



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