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Credit Card Update/Change Form

I hereby authorize advisor-newsletter.com to update the credit card on file for the billing of services rendered according to the terms of the service agreement, to the following:

Name on Newsletter Account:
Card Holder Name:
Credit Card number:
Expiration:
3-digit Security Code (back of card):
Billing Street Address:
City State Zip Code

I acknowledge that the terms and conditions put forth in the initial Service Agreement remain the same and will apply to the updated credit card information, provided above.

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Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

January 13, 2020 11:12 am PST

Newsletter Credit Card Change Uploaded by Jennifer Blair - [email protected] IP 10.73.196.1

January 13, 2020 11:31 am PST

bob richards - [email protected] added by Jennifer Blair - [email protected] as a CC'd Recipient Ip: 10.73.196.1

January 13, 2020 11:33 am PST

bob richards - [email protected] added by Jennifer Blair - [email protected] as a CC'd Recipient Ip: 10.73.196.1

January 13, 2020 11:34 am PST

bob richards - [email protected] added by Jennifer Blair - [email protected] as a CC'd Recipient Ip: 10.73.196.1

January 13, 2020 11:35 am PST

bob richards - [email protected] added by Jennifer Blair - [email protected] as a CC'd Recipient Ip: 10.73.196.1