Alpha Media Service 55

Card Authorization Form | Alpha Media Marketing

Business Name *

Address *

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Zip code *

First Name *

Last Name *

Phone *

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Service 5 *

I agree this payment is for Social Media Marketing: $500/month + one time set up fee $500 with commitment at least 6 months. I authorize Alpha Media Marketing LLC to charge my card. I certify that I am an authorized user of this bank account and will not dispute these scheduled transactions with my bank; so long as the transactions correspond to the terms indicated in this authorization form. I understand that this authorization will remain in effect until I cancel it in writing, and I agree to notify Alpha Media in writing of any changes in my account information or termination of this authorization at least 15 days prior to the next billing date.

I agree to terms & conditions provided by Alpha Media. By providing my phone number, I agree to receive text messages from the business. I grant Alpha Media Marketing LLC permission to charge the credit/debit card specified above according to the terms outlined in this authorization form or proposal. This payment authorization is for the services described in this proposal. I certify that I am an authorized user of this credit/debit card. I also understand that Alpha Media Marketing will use this credit/debit card to create my ad account for Facebook and Google on my behalf.