Credit Card Authorization


AUTHORIZATION FOR CREDIT CARD TRANSACTIONS

Reference: SPARK FACTORY/ONLINE ORDERING

AMOUNT: Varies based on usage & service plan
Name on Card:
 
Email:
 
Billing Address:
 
City, State, Zip Code:
 
Card Number:
 
CVV:

Expiration:
 

Upload copy of Credit Card Image:


Upload Drivers License: 

I (We), authorize my (our) credit card to be charged monthly/yearly for services fess relating to Spark Factory's services. By accepting this authorization I  agree to pay all service fees without offset or refusal. All invoices are subject to late fees plus legal costs. Additionally you agree to our terms and conditions located at https://sparkfactory.io/terms-and-conditions/

Leave this empty:

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Signature Certificate
Document name: Credit Card Authorization
lock iconUnique Document ID: b4afa147ced1a45ea01392ce9e01b3909bbccf80
Timestamp Audit
January 5, 2021 1:01 pm ESTCredit Card Authorization Uploaded by Scott Aadal - scott@sparkfactory.io IP 70.174.19.138