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Credit Card Authorization Form

To use your credit card for new projects or invoices, please fill out the form below and fax back to our office. All information submitted is confidential.

Type of Card:  Visa   Mastercard

Please keep my credit card information on file for future invoices.

Note for Monthly Retainer Clients with auto billing - All charges will process on or around the same billing date each month. These dates vary due to weekend and holiday processing. Paid receipts are not sent out monthly. Contact Jelly Websites anytime if you would like copies of your payments or end of year payment summary.