Secured Online Credit Card Authorization Form
This form serves as authorization for deposits/ payment according to terms agreed upon in service contract and as a guarantee of payment.
I authorize the use of my credit card according to the terms of the service contract &/ or understand that if deposits and payments are not made by the agreed upon due date, IXS TECH LLC is authorized to charge my credit card. I understand these charges will take place 5 business days after payment is due if payment has not been received.
I agree that the information below the same on the credit card and registered user.