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CREDIT CARD AUTHORIZATION FORM
Please type answers, print, sign and fax to 1-813-354-2705.
For best results, print in LANDSCAPE or download the MS Word Document.

This is to verify that I authorize A2Z Smart Consulting Group, Inc. to pay my account with the use of my Mastercard, Visa or American Express. A2Z Smart Consulting Group Inc has not stamped by card, but will keep this letter and signature on file to verify authorization for payment of my scheduled voice lessons. I understand that I am responsible for the lesson payment and have read and understand the rescheduling and cancellation policies.

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Mastercard | Visa | AmEx

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I understand that my credit card statement will read
A2Z Smart Consulting Group, Inc.

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Please type answers, print, sign and
fax to 1-813-354-2705.

 

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