MAIL NINJA'S VIP CLUB

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Name
First Last
Dealership Name
Address
Street Address Address Line 2 City State ZIP Code
Phone
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VIP Club*
- VIP Club Monthly Membership -$500
Total
$0.00
*
- The form on this page will serve as your sign-up and membership into the VIP Club and authorizes regularly scheduled charges to your credit card. You will be charged $500.00 ( five-hundred dollars) each billing period. You will have instant access to all VIP Club member benefits. A receipt for each payment will be provided to you and the charge will appear on your credit card statement. The charge will be from “Seven Media Group Inc”. You agree that no prior-notification will be provided unless the date or amount changes, in which case you will receive notice from us at least 10 days prior to the payment being collected.
*
- I understand that this authorization will remain in effect for a minimum of 3 months and then recurring each subsequent month until I cancel it in writing, and agree to notify Seven Media Group in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date. If the above noted payment dates fall on a weekend or holiday, I understand that the payments may be executed on the next business day. I also acknowledge that the origination of Credit Card transactions to my account must comply with the provisions of U.S. law. I certify that I am an authorized user of this Credit Card and will not dispute these scheduled transactions; so long as the transactions correspond to the terms indicated in this authorization form.
Credit Card

American Express
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MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

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