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Credit Card Authorization Form



We will need a copy of your Driver's license along with the below form 
You may complete the online credit card form below
and press submit
OR
you can download, print and complete the credit card authorization form and email to:
​ vcxpress@comcast.net
​or
fax back to: 800-538-9197



    Credit Card Authorization Form

    Mos./Year 00/0000
    3 digits on back of card
Submit


Please use the link below to download our credit card authorization form. You will need to download, complete the form and fax or email to us. The top option is probably easier, and quicker. 
credit_card_auth_form.pdf
File Size: 293 kb
File Type: pdf
Download File

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