Credit Card Authorization Form

I give permission to MediaTamer to charge my card for products & services outlined in our signed or verbal mutual agreement. My card details will be stored in my profile and will only be used for approved purchases.

First Name *

Last Name *

Company Name

Email *

Receipts Will Be Sent To This Email Address

Phone *

Address

Street Address

City *

State *

Country *

Postal code *

Card Number *

EXP *

CVC *

100% Secure & Safe

MediaTamer will always strive for a mutually beneficial business relationship. We care about our customers and want to do everything we can to protect you and our partnership. Our agreements are simple and our entire team knows the golden rule applies first and foremost in everything we do.

I understand that my credit card will be automatically charged for the agreed upon product payment on the 1st or 15th of each month.

I further understand, per our agreement, that I retain the right to cancel MediaTamer products and services at anytime with a 30 day written notice. I am aware that this simple cancellation policy is reciprocal, available to both parties, and may be executed for any reason and at any time.

Any questions, cancellations, adjustments, or requests may be made at anytime by contacting MediaTamer Support at [email protected]

Signature *

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I Consent to Receive SMS Notifications, Alerts & Occasional Marketing Communication from MediaTamer Corp. Message frequency varies. Message & data rates may apply. Text HELP to (562) 667-3565 for assistance. You can reply STOP to unsubscribe at any time.

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