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AmericasMart Logistics Credit Card Form Return Credit Card Form to 240 Peachtree St. NW Suite 2200 Atlanta GA 30303 Attention - Maria Losito Direct fax 678-686-5257 YOUR COMPANY NAME NAME AS IT APPEARS ON CARD CARDHOLDER BILLING ADDRESS CITY STATE ZIP TYPE OF CARD WE DO NOT ACCEPT AMERICAN EXPRESS VISA OR MASTERCARD CARD NUMBER EXPIRATION DATE / SECURITY CODE 3 DIGIT CODE ON BACK OF CARD PRINT NAME TITLE CARDHOLDER S SIGNATURE DATE By executing this form the cardholder hereby authorizes...
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