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888-675-0006

    Xpress One NY inc.


CUSTOMER CREDIT CARD FORM


AUTHORIZATION TO CHARGE CREDIT CARD


This form authorizes Xpress One to charge the credit card listed for all invoice amounts, without subsequent prior written or verbal notification to the cardholder.


It is your responsibility to contact Xpress One’s accounting department of any changes in your credit card account, in order to arrange for an alternate card to be used.


PLEASE COMPLETE THE FOLLOWING: