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Credit Card Authorization Form

Credit Card Authorization Form

This form authorizes The Smith Investigation Agency Inc. to charge your credit card for services rendered.

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Customer Information:

Name:(Required)
Address:(Required)

Credit Card Information:

Service & Fee:

Customer Acknowledgment Section:

Proof of Identity:

Please upload below a copy of your government-issued ID for verification you are the cardholder. If this is a corporate card you can include a letterhead with confirmation you are authorized to use this card.
Max. file size: 256 MB.

Disclaimer/Consent:

Disclaimer: I hereby authorize The Smith Investigation Agency Inc. to charge my credit card for the agreed amount listed above for the services rendered. I certify that I am the authorized holder and signer of the credit card referenced above. I understand that my signature on this form will serve as authorization for the charges described. Consent: I authorize The Smith Investigation Agency Inc. to commence services upon receipt of this payment. I understand that all charges are final and non-refundable, as per the agency's cancellation and refund policy. In the event of a dispute, I agree to contact The Smith Investigation Agency Inc. directly to resolve the issue. If the amount listed above is for a retainer and not a flat-rate service, I authorize The Smith Investigation Agency Inc. to charge my card as per my instructions for continued services. This authorization applies to ongoing surveillance services only and not to flat-rate services. By signing below, I confirm that I understand and accept the terms and conditions of this authorization.