Credit Card Authorization Form
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Email *
First Name *
Last Name *
Business Name
Billing Address *
City *
State *
Zip Code *
Phone Number *
Card Holder Information
Credit Card Type-Visa & MasterCard Only *
Required
Card Number *
Expiration Date *
CVV Code *
Card Holder Zip Code (From Card Billing Address) *
By signed below, I authorized United Songs of America Corp to charge my credit card above for current and future purchases. I also understand that my information will be saved to file for future transactions on my account. After submit this form, please email us a copy of the card holder’s ID and front side of the card holder’s credit card to songsgroupinc@yahoo.com
Signature *
Date *
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