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Carduseagreement

The document is an authorization agreement allowing USA2Me to charge a specified credit card for all current and future charges related to the account. It includes details such as the account number, cardholder information, and types of charges that may apply. The customer must provide a copy of their credit card and identification, and the document must be submitted via fax, email, or mail.

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317 views1 page

Carduseagreement

The document is an authorization agreement allowing USA2Me to charge a specified credit card for all current and future charges related to the account. It includes details such as the account number, cardholder information, and types of charges that may apply. The customer must provide a copy of their credit card and identification, and the document must be submitted via fax, email, or mail.

Uploaded by

vmpire0
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Agreement of Card Use and Non-Dispute

I hereby authorize USA2Me to charge all current and future charges incurred by:

31613
USA2Me Account # ____________

Hassan Farooqi
Name of USA2Me customer:________________________________________________

To the following credit card (circle):

Card Type: VISA MASTERCARD AMEX DINERS DISCOVER JVC

Ayub Khan
Cardholder Name (my name):_____________________________________________
4427 3225 3982 9726
Card Number:__________________________________________________________

05/29 Security Code:___________


Expiration Date:_________ 504 (3 or 4 digits in back of credit card)

Credit Card
16308 Bristol Lake Cir Orlando FL 32828
BillingAddress___________________________________________________________
________________________________________________________________________

Enclosed is a copy of my credit card front and back and also a copy of my passport or equivalent
photo id.

I understand that charges may include (but are not limited to): account setup fees, monthly fees,
forwarding fees, scanning fees, storage fees, and any other charges incurred by the account
holder.
Charges are subject to weight and measure verification. Should the weight and volume exceed
the original estimate, I authorize the charges be amended accordingly.
Signature__________________________

Fax to: (281) 754-4941 or email to [email protected] and mail original to: USA2Me, 10685-B
Hazelhurst Dr., Houston, TX 77043 USA

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