Authorization to Use Credit Card on File

I, , authorize Imperative Information Group, Inc. (“Imperative”) to charge the credit card listed below for the total amount of any invoices issued to  (“the Company”).

I certify that I have the authority to enter into this agreement on behalf of the Company and utilize this credit card for such payments.

I understand that this information will be saved to file for all future invoices issued to the Company.

I understand that this authorization can be cancelled at any time by contacting Imperative and that this authorization will otherwise remain in effect until cancelled.


Cardholder Name:   

Credit Card Number:  


Expiration Date:   

Billing Zip Code:   

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Signature Certificate
Document name: Authorization to Use Credit Card on File
lock iconUnique Document ID: 4ff4699861c257ab3c0b7ce909434dd55eb26dd0
January 20, 2021 4:01 pm CDTAuthorization to Use Credit Card on File Uploaded by Imperative Form Builder - IP
January 20, 2021 4:05 pm CDTImperative Information Group - added by Imperative Form Builder - as a CC'd Recipient Ip: