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Credit Authorization

I, , hereby authorize Maids On The Run to charge my credit card a cap amount of $.

Maids On The Run is authorized to charge my credit card for all present and future services, fees and purchases as requested via phone, fax, email or verbally.

Cardholder Information:

Cardholder Name: Phone:
Billing Address:

Card Type:
Visa                   MasterCard           Discover
Card Number: Exp. Date:

Signature: Date:

Please charge my card for each visit and/or service -- Yes No