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Get and Sign One Time Credit Card Payment Authorization Form ACFAS Org 2015-2022
Debits or credits to your account. 8725 W. Higgins Road Ste. 555 Chicago IL 60631 One Time Credit Card Payment Authorization Form Sign and complete this form to authorize American College of Foot and Ankle Surgeons to make a one-time debit to your credit card listed below. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company so long as the transaction corresponds to the terms indicated in this form. S Education Meetings...
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