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I authorize Shleppers Moving & Storage to charge my credit card on file for services rendered.

Customer Name:

Customer Email:

Name that appears on Card if different:

Amount of authorized charge:

CUSTOMER AUTHORIZATION

Shleppers Moving & Storage has completed the work pursuant to the service agreement.

I authorize Shleppers Moving & Storage to charge the credit card on file for the balance shown here.

I promise not to stop payment or to do a chargeback, and understand that doing so is a breach of contract.

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Your legal name

Your email address

Please Confirm full name and signature.

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I agree that I am and I agree this is a legal representation of my signature for all purposes just the same as a pen-and-paper signature

I agree that I am and I understand this is a legal representation of my signature

Timestamp

Audit

January 19, 2022 1:13 pm PDT

Credit Card Authorization (Stand Alone) Uploaded by Shleppers Moving & Storage - docs@shleppers-ca.com IP 45.49.139.219

January 25, 2022 3:07 pm PDT

Dispatch Department - dispatch@shleppers-ca.com added by Michael Friedland - Michael@shleppers-ca.com as a CC'd Recipient Ip: 45.49.139.219

May 17, 2022 1:11 pm PDT

Dispatch Department - dispatch@shleppers-ca.com added by Shleppers Moving & Storage - docs@shleppers-ca.com as a CC'd Recipient Ip: 45.49.139.219