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Doggie Patrol Credit Card Authorization Form
Credit Card Details
Card Type:
Visa
MasterCard
American Express
Discover
Other
Cardholder Name:
*
First
Last
Credit Card
*
Card Number
Expiration
MM
/
YY
CVV
What is this?
3 or 4 digit number printed on the back/front of your credit card
Protected in vault
Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
Billing Zip Code:
*
Consent
*
First
Last
I authorize the merchant known as Doggie Patrol to charge my credit card for purchases related to goods and services. I agree that my information may be saved by the merchant for future payments and understand that this can be revoked at any time with request.
Cardholder's Signature:
Clear
