Secure Payment

Credit Card Authorization Form

This form will be transmitted securely to AirTouch Digital. Please provide the following information as it is registered with your financial institution. All information sent is encrypted, and AirTouch Digital adheres to the highest standards for account data protection in AI and web development services.

Card Holder Name(Required)

First Last

Company Name

Credit Card(Required)

Card Details

Cardholder Name

Billing Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email(Required)

Phone(Required)

Please list what services the credit card authorization is for:

I authorize AirTouch Digital to charge the indicated credit card for a one-time or recurring payment, including a $0.01 annual renewal if selected. To cancel recurring billing, I must submit a written request; otherwise, payments will be invoiced and due via check, money order, or wire transfer. I agree not to dispute charges for AI development, web development, or related digital services rendered prior to my cancellation request. I confirm that I am the legal cardholder and authorized to enter this billing agreement.

Signature(Required)

Credit Card Authorization

Price:

Total

Credit Card Authorization Form

Services

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