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Credit Card Authorization

Please fill out form below.

Full Name or Company Name*

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Email*

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Amount ($)*

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Invoice(s) or N/A

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Credit Card Type

Visa

Master Card

American Express

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Name on Credit Card*

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Credit Card #*

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Exp. Date*

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CVV Code:*

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Credit Card Billing Address*

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Billing Zip Code*

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Agreement of Terms

I hereby authorize All Access Services to take Charges on the following credit card for the invoice(s) and amount stated above.

By Typing Name below you Authorize this electronic signature*

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Security Deposit*

All "First time" customers paying with a credit card will be charged a security deposit of $500.00 during the contract agreement, When agreement is closed All Access Services will Refund the amount of $500.00 back to card issued, as long as equipment is returned in the exact way it was delivered. Ex: No damage , full of fuel etc.

Any Questions Please Call

Thank you for using All Access Services, if you have any additional questions please feel free to give us a call.

619-222-9337

Security Check*

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888-777-5990

Credit Card Authorization

Locations

San Diego

Orange County

Riverside

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