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To accept credit card payments the following information below is needed. Please note that ALL fields are required in order to complete the transaction. We have made some changes to better assist in your ordering process. You simply type over the information in the text boxes. Once completed, just press send at the bottom.
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Before you submit your payment, please take a moment to make sure that everything below is correct!
ANY incorrect information will result in an additional $10.00 fee.
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WE NO LONGER ACCEPT AMERICAN EXPRESS
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Item Information needed (What is this payment for?)
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As the authorized credit card holder, I hereby authorize INSANE CANES to ship my purchase to the address I indicated above. I also understand that I will be charged a $10 fee for incorrect information submitted above by me (the buyer). By submitting my information and signing below I agree to all the terms listed above.
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Your completion of this authorization form helps us to protect you, our valued customers, from credit card fraud. All information entered on this form will be kept strictly confidential by INSANE CANES.
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