Customer Authorization to Charge Credit Card for Recurring Billing by Megadox

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									                                   MERCHANT PRE-AUTHORIZED BILLING
                                 AUTHORIZATION TO CHARGE CREDIT CARD

PAYEE:              [PAYEE] (“[PAYEE]”)

PAYOR:
                    [name of account holder / company] (the “Company”)

ADDRESS:

CITY:                                                                PROV:

POSTAL CODE:                                               PHONE:

FAX:                                                       EMAIL:

1.        The Company understands that [PAYEE] will bill the Company at the end of each calendar
          month for [PAYEE] products sold by the Company to its third party customers during that
          calendar month.

2.        The
								
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