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I authorize CRP Sanitation to charge the credit card indicated in this authorization form/Payment Site according to the terms outlined above/& or in my contract/Invoice. This payment authorization is for the goods/services described above/ or corresponding to the Invoice, for the amount indicated above only, and is valid for one (1) time use only. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company, without first making a good faith effort to remedy the situation directly with CRP Sanitation, so long as the transaction corresponds to the terms indicated in this form.


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