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I certify that I am an authorized user of this credit card and that I will not disp ute the payment with my credit card company so long as the transaction corresponds to the terms indicated in this form. return completed form to info lubbockwrecker. 3209 E Slaton Rd Lubbock TX 79404-6907 806 748-1044 no hill too steep no ditch too deep 511 US Highway 84 Snyder TX 79549-6902 325 573-6300 Authorization for Payment via Credit Card By signing this form you are giving permission to charge your...
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