Credit Card Auth Terms

Customer Information
Customer Name:	Date of Application: 01-01-1970
Phone:	Email:
Purchase IP Address:	Authorization IP Address:
Billing Address: ,	Shipping Address: ,
Credit Card Information
Name on Card:	Card Type:
Card Number: XXXX-XXXX-XXXX-	Exp Date: /

I, , hereby authorize Satmodo, LLC (Satmodo), via this signed authorization, to charge the above credit card for the amount of $ for all products and services I purchased and requested. As the credit card holder, I hereby authorize receipt of goods & services at the shipping address listed above. Digital Signature You are confirming from this IP address:18.234.236.14