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Great Wall Security Inc
DBA:www.shoppingcctv.com
Credit Card Authorization Form
1230 Santa Anita Ave., Unit A
South El Monte,
CA91733
Tel: 6263500555 Fax: 6263500050
Authorization Agreement
I hereby authorize Great Wall Security(DBA:www.shoppingcctv.com) to charge my Credit Card Account for their products
and/or service I am to receive.
?Single purchase on Date: ___/___/___
?All purchases unless otherwise noted at the time of
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