Billing Authorization Form 1

BILLING AUTHORIZATION FORM

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Please complete all fields. You may cancel/change this authorization at any time by contacting us. This authorization will remain in effect until canceled. Authorization to bill your card provided is for services only rendered by Shining Star Interactive LLC. Any and all charges are limited to contracted services with established and client-approved fees and monthly retainer fees. No charges will be made for unapproved or uncontracted fees without prior consent from the client. If you wish to pay via bank ACH auto draft, please let us know.

Billing Authorization Form 2