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Get Blank Credit Card Authorization Form

Rm in order. Please note that we will not take credit card numbers over the phone or via email. I hereby authorize Academic Evaluation Services to debit my: (Print Cardholder Name) IN THE AMOUNT OF $ FOR THE FOLLOWING SERVICE(S): Translations-Language Number of pages Extra copy balance (if new request, please use Extra Copy Request form) Mailing fees (please write address at the bottom of this page if not previously prov.

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