DJG Investigative Services
Credit Card Authorization Form
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Request Information

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We proudly accept Visa or Mastercard or American Express!

By submitting this form, I hereby authorize DJG Investigative Services Inc. to charge the credit card noted below for payment of fees, cost and expenses which are directly related to my case.



I understand that DJG Investigative Services makes no promises as to the outcome of any assignment and that all fees are non-refundable.



I also agree that I will not request a stop payment from my credit card issuer on any charges made in regards to services rendered as stated.

Client Name
Credit Card Holder Name
Billing Address for Card Holder
Telephone Number
Credit Card Number
Type
Expiration Date
Service Requested
Cost approved by client for services rendered
Electronic Signature
  

DJG Investigative Services * 1973 JN Pease Place #202 * Charlotte * NC * 28262
Phone: 704-536-8025 * Fax: 704-563-7433 * Email: info@djginvestigativeservices.com