• The undersigned hereby authorizes The Center for LifeSkills, LLC/Stefanie Peck, to charge the below-referenced credit card for services rendered. In addition, as per the signed Service Agreement, I understand my credit card will be charged in the event that: • Proper cancellation procedures are not followed as noted on the Policy Form • A check is returned for insufficient funds (fee of $25) I, the undersigned, further understand that it is my responsibility to inform The Center for LifeSkills, LLC/Stefanie Peck, of any changes to my credit card information including address, zip code, updated expiration dates, account numbers and security codes. I understand I will be responsible for any bank chargeback fees in the event that this information is not kept up to date.
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