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Credit/Debit Card Authorization

Credit/Debit Card Authorization Form

Credit Card MUST be a company credit card or the personal card of an owner, principal, or officer of the company.

Company Name *

Select Option *

Sales Order No.

Card Information

Card Type *

Issued By *

Card Number *

Expiration *

Cardholder's Name (As it is on card) *

City *

Zip Code *

Card ID# *

Card Billing Address *

State *

Phone Number *

Consent

By checking this box, I authorize Adinrondack Networks, INC to charge purchases of products to the above credit card for the named account listed above. This authorization will remain in effect until Adinrondack Networks, INC receives written notice of cancellation, or at the discretion of Adirondack Networks to request an update. I acknowledge all information contained herein is accurate.

Security Code *

Card Information

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Card Information

Contact Us

IT Products

IT Solutions

IT Services

Help & Support

For a Limited Time GET 3 MONTHS FREE!

For a Limited Time
GET 3 MONTHS FREE!