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AUTHORIZATION TO CHARGE
CREDIT CARD
Print and mail to:
Merry C. Hardy
9070 Hwy 63 South
Alexander City, Alabama
35010
Home • Barn • Fax (256) 417-6577 • Cell (256)
794-8075
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Signature
on
file.
Name_______________________________
Address_______________________________________________________________
Please Circle One:
Mastercard
-Visa-American
Express
-Discover
Name
on
card______________________________________
Card
#____________________________________________
Signature__________________________________________
Expiration
Date_____________________________________
Last
three
digits
on
back
side
of
card____________________
I
hereby
authorize
Red
Hot
Quarter
Horses
to
charge
breeding
expenses
to
my
credit
card. |
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