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I hereby authorize the designated entity to charge the balance due as stated below for the services mentioned above. As the authorized cardholder or Corporate Officer, by signing below, I acknowledge and agree to the terms set forth in this agreement. I agree to make payment and specifically authorize the charging of my credit card for the services provided. Furthermore, I agree that if my credit card becomes invalid, I will promptly provide a new valid credit card upon request to settle any outstanding balances owed.