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- OR Form 508c 2018
Get OR Form 508c 2018-2024
Go. Credit card transactions may be authorized via this form. Please complete sections A, B, & C and submit via fax, mail or hand delivery DPSST will not accept a form submitted by email. DPSST does not keep credit card number information on file. A new form 508c must be submitted for each authorized payment. SECTION A: CREDIT CARD HOLDER INFORMATION 1. Name as it appears on card: 2a. Billing Address: 2b. City, State, Zip: 3a. Mailing (Shipping) Address: 3b. City, State, Zip: 4a. e-Mail.
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