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You may cancel this automatic billing authorization at any time by contacting us. Customer Information To be completed by merchant Customer name Customer account number Phone - Payment Information To be completed by merchant I authorize DeCamp Trucking to automatically bill the card listed below as specified Frequency Amount c Weekly g d e f g c Semi-Monthly g c Monthly c Quarterly g c Semi-Annually g c Annually Check only one Start billing on / End billing when c Contract expires c Customer...
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