Legendary Social Media Vancouver - Payment Authorization

pre-authorized payment agreement form.

Please enter your credit card details below.
Your credit card information will be securely stored on file.
You will receive an invoice 7 days before your payment is processed, and a receipt will be issued to you via email once payment is processed.

billing contact details

business name

billing contact name

billing contact email

billing contact phone

credit card details

billing address

billing postal code

name on card

card typeVisaMasterCard

credit card number

expiry

cvv

authorizationI hereby authorize Legendary Social Media to charge my credit card above for agreed upon purchases. I understand that my information will be saved on file for future transactions on my account.