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CREDIT CARD AUTHORIZATION

I, , hereby authorize Partner-Ship Solutions, LLC DBA Gift A Trip to charge my credit card for the agreed upon purchases on or after the indicated date. This is permission for a single transaction only and does not provide authorization for any additional unrelated debits or credits to your account.

The payment is for the following purchase:

BILLING DETAILS

Card Holder Billing Address:

CREDIT CARD DETAILS

CHOOSE YOUR CARD TYPE:

VISA

MASTER CARD

AMERICAN EXPRESS

DISCOVER

I authorize the above-named merchant to charge the credit card indicated in this authorization form according to the abovementioned terms. This payment authorization is for the goods/services described above, for the amount indicated above only, and is valid for one (1) use only. I certify that I am an authorized user of this credit card and will not dispute the payment with my credit card company.

I acknowledge that I have reviewed and accept the TERMS & CONDITIONS as set forth by Partner-Ship Solutions, LLC DBA Gift A Trip.

ALL CERTIFICATES ARE NON-REFUNDABLE ONCE PURCHASED.

4% MERCHANT FEES MAY APPLY.

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Timestamp

Audit

May 2, 2023 5:26 pm EDT

One Time Use Credit Card Authorization Form Uploaded by Gift A Trip - info@giftatrip.tempurl.host IP 69.109.238.104