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Credit/Debit Authorization Retainer Form
Retainer Fees: $100 for each personal return or project, $200 for each business return. (Remaining balance due in full upon completion.)
Name (As it appears on credit card)
Company Name
Email
Billing Information
City
State
Zip
Card #
Card Expiration Date
Verification Code
Select an option
Visa
Master Card
Discover
American Express
Services
Retainer Form Agreement:
By submitting this form, I authorize Halo CFO, LLC and its authorized credit/debit card transaction agent(s), to bill my credit/debit card account for monthly recurring payments, and/or other services.
I also understand that I am responsible for any declined/returned payments, and may be subject to any interest, or fees accordingly. I understand failure to pay my bill may result in the reversal of all discounts and interest charged at 1.5% for each month or part thereof in the past due balance.
I understand and agree I have or will receive (d) adequate services or product and that I owe for said services.
Submit Payment Information
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