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In order to protect both you and Foreclosure Group, we require that you provide written, signed authorization to make charges to your credit card in your name. Please complete this form, sign it, and fax it to (877) 282-3866 or mail it to the following address: 3400 W. 111th Street #325 Chicago, IL 60655 I hereby authorize Foreclosure Group to charge or cause to be charged to my Type of credit card: Visa Master Card American Express Discover Account number: _________________________________________________ Expiration date: __________________________________________________ Name on the card: ________________________________________________ Billing address for the credit card: City:____________________________ State: ________ Zip Code: ________ Telephone number(s): _____________________________________________ E-mail address: __________________________________________________ The total amount to be charged by Foreclosure Group is $_____________ for the purchase (with shipping) of the Foreclosure Prevention Loss Mitigation Services Training Course which I have requested. I understand the Return Policy allows me up to 30 days to ship back the materials intact (unmarked and undamaged) to receive a full refund less shipping and handling. Signature of credit card holder: _____________________________________ Print Name of credit card holder: ____________________________________ Date signed: __________________________ |
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