CC Authorization for Variable Charges

You authorize regularly scheduled charges to your Credit Card. A receipt for each payment will be provided to you and the charge will appear on your Credit Card Statement. You will receive an invoice 5 days prior to your credit card being charged. You agree that if you do not dispute the invoice within 5 days that the invoice/charges are valid. You agree to a 3.5% surcharge fee on each transaction.

I authorize AltrueTECH LLC to charge my Credit Card according to the terms.

Billing Details:

Credit Card Information:

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Signed by David Sherrill
Signed On: June 7, 2024

Signature Certificate
Document name: CC Authorization for Variable Charges
lock iconUnique Document ID: 1c69c005cc33be26d8dae765afd9b34068f0dd1a
Timestamp Audit
January 27, 2022 1:38 pm EDTCC Authorization for Variable Charges Uploaded by David Sherrill - IP