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MOORE'S MILL CLUB

TENNIS

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CREDIT CARD
AUTHORIZATION FORM

I authorize payment to Moore’s Mill Club by the method indicated below and to be posted on my credit card on the seventh (7th) day of each month for all tennis related services at Moore’s Mill Club.

Name as it appears on card

Card Comapny *

American Express

Visa

Master Card

Account Number

Expiration Date

Security Code

Zip Code

I understand that this authorization form is to remain in full force and effect until Moore’s Mill Club has received notification from me of its termination in such time and such manner as to afford Moore’s Mill Club a reasonable opportunity to act on it.

Your Signature

We received your form, we'll see you on the courts!

DREW CLEVENGER
Director of Tennis

TAYLOR HARDY
Academy Director

1957 Fairway Dr, Auburn, AL 36830

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CREDIT CARD AUTHORIZATION FORM

CREDIT CARD
AUTHORIZATION FORM