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Checkout Form

Credit Card Authorization Form

Please complete and sign this form to authorize First Step Rental to charge your credit card for agreed-upon purchases or services.

First Name*

Last Name*

Email Address*

Address*

Phone Number*

Payment Information

Credit Card Type*

Name on Card*

Credit Card Number*

Expiration Date (MM/YY)*

CVV*

Authorization Details

Amount to Charge*

Transaction Date*

I authorize First Step Rental to charge the credit card listed above for the amount indicated. I understand that my information will be kept confidential and secure. This authorization is valid for the agreed-upon charges only and does not provide authorization for any additional debits or credits to my account.

Checkbox*

I authorize

Print Full Name for Acknowledgment *

Solve the math problem

Checkout Form

Credit Card Authorization Form

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