CREDIT CARD AUTHORIZATION FORM
JUDGMENT RECOVERY OF SOUTHERN CALIFORNIA and
P.I. SOLUTIONS GROUP
PLEASE COMPLETE THIS AUTHORIZATION AND FAX TO: (866)265-9161
OR E-mail: tmckenna@judgmentrecoverysocal.com
NAME ON CARD:
Address:
City State Zip
Phone:
Credit Card Type: _____ VISA _____ MASTERCARD ____ DISCOVER
Credit Card Number:
Expiration Date: /
Month Year
Card ID No. (last 3 digits on the back of card): ________
Amount Authorized: $ ________________* (USD)
*P.I. Solutions Group will appear on your statement.
Authorized Signature:
