CREDIT CARD AUTHORIZATION RELEASE FORM
I hereby authorize COMPANY NAME to charge my credit card as follows (please fill in):
Holding Deposit ($250 total)
Application Fee(s) (Non-Refundable, $40 per Applicant)
__ Visa __ MasterCard __ Discover __ Amex
City, State, Zip
Please fax this form to (123) 123-4567. Thank You!
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