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About Us
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Credit Card Authorization
I,
authorize Marina Veterinary Center to keep my credit card information on file in a secure location in order to expedite the discharge of my pet(s).
This card should be used AUTOMATICALLY for all my bills
This card should be used ONLY WHEN DIRECTED
This card should ONLY be used for EMERGENCIES with authorization
Below is my credit card information
VISA
MASTERCARD
CARECREDIT
AMEX
Credit Card Number
Expiration
Security Code (3 Numbers on the Back)
(AMEX ONLY) Security Code (4 Numbers in front)
Signature
Date
Additional Authorized Users
Additional User
Relation
Additional User
Relation
Additional User
Relation
MVC Staff
Date
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