Get Card Authorization Cash

CREDIT CARD AUTHORIZATION FORM SLOTO CASH CASINO Email this Form along with copies of the following to documents slotocash. im documents slotocash. im 1 Passport or Drivers license of Accountholder both sides. 3 Authorized Credit Card s both sides. 4 Utility Bill bank statement or credit card statement User Name or Customer Number Date Accountholder Name By signing below I authorize the use of the following credit cards Authorized Card s for loading my Sloto Cash account identified above. I also agree that I have been authorized to use all of the Authorized Card s listed below and agree to pay any and all charges incurred by these cards to fund my Sloto Cash account regardless of when or by whom the transaction was authorized* I agree that you shall be fully protected in honoring any such Authorized Card s payments. I further agree that if any such Authorized Card s payment be dishonored whether with or without cause and whether intentionally or inadvertently you shall be under no liability whatsoever including any fees imposed by my bank even though such dishonor may result in the inaccessibility of my Sloto Cash account. By Signed Print Name CARD TYPE VISA CARD NUMBER EXPIRATION DATE MASTERCARD CARD BILLING ADDRESS if different than above DINERS CLUB CARDHOLDER S NAME as it appears on the credit card TODAY S DATE SIGNATURE OF CARDHOLDER Question E-mail documents slotocash. im documents slotocash. im 1 Passport or Drivers license of Accountholder both sides. 3 Authorized Credit Card s both sides. 4 Utility Bill bank statement or credit card statement User Name or Customer Number Date Accountholder Name By signing below I authorize the use of the following credit cards Authorized Card s for loading my Sloto Cash account identified above. 4 Utility Bill bank statement or credit card statement User Name or Customer Number Date Accountholder Name By signing below I authorize the use of the following credit cards Authorized Card s for loading my Sloto Cash account identified above. I also agree that I have been authorized to use all of the Authorized Card s listed below and agree to pay any and all charges incurred by these cards to fund my Sloto Cash account regardless of when or by whom the transaction was authorized* I agree that you shall be fully protected in honoring any such Authorized Card s payments. I also agree that I have been authorized to use all of the Authorized Card s listed below and agree to pay any and all charges incurred by these cards to fund my Sloto Cash account regardless of when or by whom the transaction was authorized* I agree that you shall be fully protected in honoring any such Authorized Card s payments. I further agree that if any such Authorized Card s payment be dishonored whether with or without cause and whether intentionally or inadvertently you shall be under no liability whatsoever including any fees imposed by my bank even though such dishonor may result in the inaccessibility of my Sloto Cash account. I further agree that if any such Authorized Card s payment be dishonored whether with or without cause and whether intentionally or inadvertently you shall be under no liability whatsoever including any fees imposed by my bank even though such dishonor may result in the inaccessibility of my Sloto Cash account. By Signed Print Name CARD TYPE VISA CARD NUMBER EXPIRATION DATE MASTERCARD CARD BILLING ADDRESS if different than above DINERS CLUB CARDHOLDER S NAME as it appears on the credit card TODAY S DATE SIGNATURE OF CARDHOLDER Question E-mail documents slotocash. .