VantagePoint Marketing, LLC.

Billing Information &

Payment Authorization

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BILLING INFORMATION

Please complete the following:

Billing Information

First & Last Name *

As it appears on card.

Billing Address *

Billing Address

Street Address

Suite/Apt

City

State/Province

Zip/Postal

Credit Card Number *

Please double check the number for accuracy

Expiration Date *

CVV *

3-Digit Code

Authorization *

I approve VantagePoint Marketing, LLC to charge monthly services rendered to the credit card provided herein. Monthly VantagePoint Marketing, LLC services can be canceled at anytime. I certify I am authorized to approve payments on behalf of the named company.

Your Name *

Please type your name as electronic authorization

Company Name *

Today's Date *

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