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2388 www. CPACharge. com AN AFFINIPAY S OLU T ION Client Credit Card Pre-Authorization Form Name Business Phone Business Name Business Fax Business Address Business Email In an effort to better serve our clients and simplify your billing experience our firm offers credit card acceptance. 6200 Bridge Point Parkway Building 4 Suite 250 Austin Texas 78730 Phone 866. 376. 0950 Fax 512. 233. Client Name PAYMENT INFORMATION Client Billing Address Type of Card Card Number Expiration Date Security...

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