Credit Card Auth Form
Reference: SPARK FACTORYName on Card: Email: Billing Address: City, State, Zip Code: Card Number: CVV: Expiration:
I authorize the debit of this fee in full and acknowledge that Spark Factory and/or Pilates Web Co will not be responsible for any fees incurred by my financial institution.
I (We), authorize my (our) credit card/ACH to be charged for fees relating to Spark Factory's services. By accepting this authorization I agree to pay all service fees without offset or refusal.
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Your legal name
Your email address
If you have questions about the contents of this document, you can email the document owner.
Document Name: Credit Card Auth Form
Agree & Sign