To charge your invoice or invoices:
-Print this page out.
-Fill in the requested information.
-Fax this completed, signed form to Trice at 301-593-6094.
-A receipt will be emailed to you for your records.
-Call 301-593-0811 with any questions.
| Invoice Number | Amount to be Charged |
| Total: |
| Company Name: | |||
| Name on Credit Card: | |||
| Type of Card : | |||
| Card Number | |||
| Expiration Date | |||
| Email Address | |||
| Billing Address: Street | |||
| City, State, Zip | |||
| Signature: | |||
| I
hereby authorize Trice Talent Services, Inc. to
charge the invoice(s) described above to the credit card listed above and agree to pay the above total amount according to card issuer agreement. Keep card on file for future payments? |
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