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The recurring credit card authorization form is a document that will authorize a company (ie: utility bills, various subscriptions, automobile payments etc.) to automatically deduct payment from an individualís bank account or credit card account. The payments will be charged at the end of each billís, billing cycle. By providing permission for recurring payments, you will be charged on or around the same time each Ö

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PO Box 269005 Weston, FL 33326-9927 Credit Card Automatic Premium Payment Authorization Form . ONLY complete if you want your premium to be automatically charged to

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Automatic Credit card Payment Authorization Form (PRINT INFO) This form gives Access Mini Storage authorization to automatically process monthly rental payments from the following customer with the credit card information provided below. Tenant Name: _____ Unit Rented_____

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