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* See full Terms and Conditions for additional pricing information
Monthly Recurring Payment and sign up information:
I authorize “COMPANY NAME” as evidenced by my signature below, to initiate recurring entries to the card below. For my Monthly Service Charge and overages. My Monthly Billing Occurs when Tablet is delivered.
Card Holder: __________________________________
Credit Card Number: ____________________________
Street and Zip code: ____________________________
Exp Date/CVV: _________________ / ______________
Should you choose to cancel, we will need to be contacted 3 business days prior to your billing date via email to firstname.lastname@example.org. Notice of termination is delivered on or after billing date, the term will end on the last day of the following month, and this contract shall automatically be extended to such date.
All of above information will be included in the Sms Factory Terms & Conditions as displayed on our website, http://platformloginURL/info/terms.jsf By signing this acknowledgement form I have read and understood the Merchant Terms & Conditions and my signature will be used for account opening and verification purpose.
Signature: __________________________ Date:__________________________
YOUR COMPANY LL | Address. City State Zip Code | Tel: 732-555-5555
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