Credit Card Authorization Form
I,
give permission to De'More Tax Service to change my credit card below for
Bookkeeping
Taxation services
.
Amount authorized
Cardholder Email
Select field required
Card Type
MasterCard
Discover
VISA
AMEX
CID Code
Cardholder(Name on card)
Card Number
Address
City
State
Zip Code
Expiration date (MM/YYYY)
ZIP code (From credit card billing address)
Signature
Signature Date
Please upload all tax documents:
Please prove you are human by selecting the
Plane
.
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